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

Individual provider Clinical Social Worker · NPI 1316020779

Theresa Lea Niederkruger, LCSW is a Clinical Social Worker in Meridian, Idaho. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

573 N Mineral Wells Ave
Meridian, ID 83642-7609
Phone: (208) 871-8468
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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 29200 (MN)

Record details

NPI number1316020779
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 21, 2006
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

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