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

Caroline Grace Mullis, LCSW

Individual provider Clinical Social Worker · NPI 1407232200

Caroline Grace Mullis, LCSW is a Clinical Social Worker in Boise, Idaho. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015
Specialties on file
2
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

444 W Fort St Fl 2
Boise, ID 83702-4535
Phone: (208) 422-1018
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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 C011005 (NC)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1407232200
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 4, 2015
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023

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