SearchIdahoClinical Social Worker

Michael Wiley, LCSW

NPI 1396964839 · on the registry since 2007

Practice

Address
2805 Blaine St
Ste 120
Caldwell, ID 83605
Phone
(208) 459-4412
Fax
(208) 454-7296
Organisation at this address
Peak Mental Wellness And Counseling Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-03-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho