Bryan G Bumgarner, LCSW
Bryan G Bumgarner, LCSW is a Clinical Social Worker in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2009.
- Licensed in
- ID
- In the registry since
- 2009
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
500 W Fort St B-114Boise, ID 83702-4501
Phone: (208) 422-1000
Fax: (208) 422-1241
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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 30983 (ID) |
|---|
Record details
| NPI number | 1053646414 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW |
| Sole proprietor | No |
| NPI enumerated | October 2, 2009 |
| Last updated in NPPES | January 11, 2023 |
| Certification date | January 11, 2023 |
| Mailing address | 500 W Fort St, B-114/River St, Boise, ID 83702-4501 |
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