INSPIRE CHANGE THERAPEUTIC SERVICES PLLC
NPI 1164217873
Social Worker - Clinical in Ponderay, ID

Active since April 12, 2025
30410 HIGHWAY 200 # 200R-3, PONDERAY, ID 83852(208) 290-5285 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2025, Apr 12, 2025 (2 updates tracked since 2025).

About Inspire Change Therapeutic Services Pllc NPPES

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

INSPIRE CHANGE THERAPEUTIC SERVICES PLLC (NPI 1164217873) is a healthcare organization registered as a clinical in Ponderay, Idaho and active in the NPI registry since April 2025. The organization lists Michaella A Hammersberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1164217873
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINSPIRE CHANGE THERAPEUTIC SERVICES PLLC
Location Address30410 HIGHWAY 200 # 200R-3Ponderay, ID 83852-9601
Mailing Address30410 Highway 200 Ste 200r-3Ponderay, ID 83852-9601 · (208) 610-4861
Organization SubpartNo
Authorized OfficialMichaella A HammersbergOwner · (208) 610-4861
Enumeration DateApril 12, 2025
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1164217873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
30410 HIGHWAY 200 # 200R-3, Ponderay, ID 83852

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

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 Inspire Change Therapeutic Services PLLC's NPI number?

The NPI number for Inspire Change Therapeutic Services PLLC is 1164217873. It was assigned to this organization in the NPPES registry on April 12, 2025.

Where is Inspire Change Therapeutic Services PLLC located?

Inspire Change Therapeutic Services PLLC is located at 30410 Highway 200 # 200r-3, Ponderay, ID 83852. The listed phone number is (208) 290-5285.

What is Inspire Change Therapeutic Services 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 Inspire Change Therapeutic Services PLLC was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.