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

Clair Therese Wardwell, LCSW

Individual provider Clinical Social Worker · NPI 1619495025

Clair Therese Wardwell, LCSW is a Clinical Social Worker in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2017.

Licensed in
ID
In the registry since
2017
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

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2222
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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 LCSW-42909 (ID)
Social Worker Taxonomy 104100000X · Licence 36837 (ID)

Record details

NPI number1619495025
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 6, 2017
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023

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