Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mildred Azucena Gaitan-Gonzalez, LCSW

Individual provider Social Worker · NPI 1841535267

Mildred Azucena Gaitan-Gonzalez, LCSW is a Social Worker in Twin Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2012
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

160 Main Ave N
Twin Falls, ID 83301-6101
Phone: (208) 733-3024
Fax: (208) 733-0929
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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-34217 (ID)
Social Worker Taxonomy 104100000X · Licence LMSW-32352 (ID)

Record details

NPI number1841535267
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 11, 2012
Last updated in NPPESOctober 25, 2021
Certification dateSeptember 27, 2021

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