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MS. STACY RAE TOLLIVER LCSW
NPI 1114290269
Social Worker - Clinical in Boise, ID

Active since February 21, 2012
3712 GREENBRIER DR, BOISE, ID 83705(208) 949-0004 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Stacy Rae Tolliver Lcsw NPPES

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

MS. STACY RAE TOLLIVER LCSW (NPI 1114290269) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LCSW 1001) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1114290269
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. STACY RAE TOLLIVERCredential: LCSW
Location Address3712 GREENBRIER DRBoise, ID 83705-4517
Mailing Address3712 Greenbrier DrBoise, ID 83705-4517 · (208) 949-0004
Phone(208) 949-0004
Sole ProprietorYes
Enumeration DateFebruary 21, 2012
✔ NPI 1114290269 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 1001
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.
3712 GREENBRIER DR, Boise, ID 83705
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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 Stacy Tolliver's NPI number?

The NPI number for Stacy Tolliver is 1114290269. It was assigned to this individual provider in the NPPES registry on February 21, 2012.

Where is Stacy Tolliver located?

Stacy Tolliver practices at 3712 Greenbrier Dr, Boise, ID 83705. The listed phone number is (208) 949-0004.

What is Stacy Tolliver'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 Stacy Tolliver was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.