Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexandra Evelyn Bope Miongolo, LCSW

Individual provider Clinical Social Worker · NPI 1215623731

Alexandra Evelyn Bope Miongolo, LCSW is a Clinical Social Worker in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2023.

Licensed in
ID
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

13477 W Bluebonnet Dr
Boise, ID 83713-1341
Phone: (208) 254-1112
Fax: (208) 254-7014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8861353 (ID)

Record details

NPI number1215623731
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 17, 2023
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

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