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

Miriam Patricia Southern

Individual provider Clinical Social Worker · NPI 1891359980

Miriam Patricia Southern is a Clinical Social Worker in Boise, Idaho. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1720 N Westgate Dr Ste A-1
Boise, ID 83704-7164
Phone: (208) 334-0800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1891359980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 24, 2019
Last updated in NPPESApril 24, 2019

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