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

David Nystrom, LCSW

Individual provider Clinical Social Worker · NPI 1194537084

David Nystrom, LCSW is a Clinical Social Worker in Lewiston, Idaho. Registered with an NPI since 2025.

In the registry since
2025
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

1514 G St
Lewiston, ID 83501-2017
Phone: (208) 816-6078
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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

Record details

NPI number1194537084
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025
Mailing address419 22nd Ave, Lewiston, ID 83501-3812

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