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

Jessica Nicole Gambill, LCSW

Individual provider Clinical Social Worker · NPI 1164173639

Jessica Nicole Gambill, LCSW is a Clinical Social Worker in Boise, 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

4241 N Cloverdale Rd
Boise, ID 83713-2412
Phone: (208) 515-5416
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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-41490 (ID)

Record details

NPI number1164173639
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 15, 2022
Last updated in NPPESJanuary 15, 2022
Certification dateJanuary 15, 2022

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