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

Mr. Dale Wilson, LCSW

Individual provider Counselor · NPI 1982901435

Mr. Dale Wilson, LCSW is a Clinical Social Worker in Boise, Idaho. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Licensed in
ID
In the registry since
2011
Specialties on file
4
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

6126 W State St Ste 101
Boise, ID 83703-2741
Phone: (208) 713-9627
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCSW - 33650 (ID)
Counselor Taxonomy 101Y00000X · Licence LCSW - 33650 (ID)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCSW - 33650 (ID)
Pastoral Counselor Taxonomy 101YP1600X · Licence LCSW - 33650 (ID)

Record details

NPI number1982901435
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 18, 2011
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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