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

MS. Stacy Rae Tolliver, LCSW

Individual provider Clinical Social Worker · NPI 1114290269

MS. Stacy Rae Tolliver, LCSW is a Clinical Social Worker in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2012
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

3712 Greenbrier Dr
Boise, ID 83705-4517
Phone: (208) 949-0004
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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 1001 (ID)

Record details

NPI number1114290269
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 21, 2012
Last updated in NPPESFebruary 21, 2012

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