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NICMH
NPI 1083773378
Social Worker - Clinical in Sandpoint, ID

Active since December 06, 2006
1717 ONTARIO ST, SANDPOINT, ID 83864(208) 265-6798(208) 263-8160 Get Directions Write a Review

NPPES record last updated: May 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicmh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICMH (NPI 1083773378) is a healthcare organization registered as a clinical in Sandpoint, Idaho and active in the NPI registry since December 2006. The organization lists Kim Bendickson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083773378
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameNORTH IDAHO CHILDREN'S MENTAL HEALTH, PLLC.
Location Address1717 ONTARIO STSandpoint, ID 83864-9329
Mailing Address1717 W. Ontario StSandpoint, ID 83864-8268 · (208) 265-6798 · Fax (208) 263-8160
Phone(208) 265-6798
Fax(208) 263-8160
Organization SubpartNo
Authorized OfficialKim BendicksonOffice Manager · (208) 265-6798
Enumeration DateDecember 6, 2006
Last NPPES UpdateMay 13, 2010
✔ NPI 1083773378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · LCSW-25493
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1717 ONTARIO ST, Sandpoint, ID 83864
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Other Names 1

Other NameNicmh

Other Identifiers 2

Medicaid806106400ID
Medicare PIN1374294ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CATHERINE PERUSSE LPC
Counselor (Professional)
1717 ONTARIO ST
SANDPOINT, ID 83864
Bonner County (208) 265-6798
MICHELLE WOODWARD LPC, NCC
Counselor (Professional)
1717 ONTARIO ST
SANDPOINT, ID 83864
Bonner County (208) 265-6798
JAMES WANDLER LPC
Counselor (Professional)
1717 ONTARIO ST
SANDPOINT, ID 83864
Bonner County (208) 265-6798
MRS. JULIA ELAINE MOORE LPC
Counselor (Professional)
1717 ONTARIO ST
SANDPOINT, ID 83864
Bonner County (208) 265-6798

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Idaho Children's Mental Health, PLLC.'s NPI number?

The NPI number for North Idaho Children's Mental Health, PLLC. is 1083773378. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is also known as Nicmh.

Where is North Idaho Children's Mental Health, PLLC. located?

North Idaho Children's Mental Health, PLLC. is located at 1717 Ontario St, Sandpoint, ID 83864. The listed phone number is (208) 265-6798.

What is North Idaho Children's Mental Health, PLLC.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for North Idaho Children's Mental Health, PLLC. was last updated on May 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.