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

Dr. Cleo Patrick, PHD, LCSW, LICSW

Individual provider Clinical Social Worker · NPI 1275888943

Dr. Cleo Patrick, PHD, LCSW, LICSW is a Clinical Social Worker in Mountain Home AFB, Idaho. Practices as a sole proprietor. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

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Practice location Address checks out

366 Gunfighter Ave # 366MDG
Mountain Home AFB, ID 83648-5258
Phone: (208) 828-7655
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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-34797 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence 61261680 (WA)

Record details

NPI number1275888943
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LCSW , LICSW
Sole proprietorYes
NPI enumeratedJuly 19, 2012
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023

Other providers in Mountain Home AFB