SearchIdahoClinical Social Worker

Fred Dodge, LCSW

NPI 1669117438 · on the registry since 2022 · sole proprietor

Practice

Address
2650 S Eagle Rd
Meridian, ID 83642
Phone
(986) 200-4290
Organisation at this address
Lice Clinics Of Boise
Oak Ridge Recovery Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

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
2022-05-04

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