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

Amber Mickelsen

Individual provider Clinical Social Worker · NPI 1043002595

Amber Mickelsen is a Clinical Social Worker in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2025

Practice location Address checks out

1500 E Venture Way Apt 5308
Pocatello, ID 83201-1205
Phone: (208) 380-6968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-38418 (ID)

Record details

NPI number1043002595
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 20, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address1500 E Venture Way Apt 5308, Pocatello, ID 83201-1205

Other providers in Pocatello