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

Mr. Evan Tullis Anderson, LCSW

Individual provider Clinical Social Worker · NPI 1780105767

Mr. Evan Tullis Anderson, LCSW is a Clinical Social Worker in Boise, Idaho. Works from 3 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2017
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

300 S 23rd St
Boise, ID 83702-9100
Phone: (208) 344-3512
Fax: (208) 466-5359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2216 W Fairview Ave, Boise, ID 83702-6844 — (208) 721-5070
  • 2825 S Meridian Rd Ste 150, Meridian, ID 83642-7960 — (208) 297-9495

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-42535 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence 34856 (ID)

Record details

NPI number1780105767
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 29, 2017
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

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