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

Cole Ivancic, LCSW

Individual provider Clinical Social Worker · NPI 1942948112

Cole Ivancic, LCSW is a Clinical Social Worker in Meridian, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2022
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

3709 N Locust Grove Rd Ste 100
Meridian, ID 83646-5924
Phone: (208) 860-2598
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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 8911012 (ID)

Record details

NPI number1942948112
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 26, 2022
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

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