DAVID NYSTROM LCSW
NPI 1194537084
Social Worker - Clinical in Lewiston, ID

Active since January 27, 2025

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About David Nystrom Lcsw NPPES

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

DAVID NYSTROM LCSW (NPI 1194537084) is an individual clinical provider in Lewiston, Idaho and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1194537084
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDAVID NYSTROMCredential: LCSW
Location Address1514 G STLewiston, ID 83501-2017
Mailing Address419 22nd AveLewiston, ID 83501-3812 · (208) 746-3388
Sole ProprietorNo
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
NPI 1194537084 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.

1514 G ST, Lewiston, ID 83501

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
1514 G ST
LEWISTON, ID 83501
Rehabilitation Practitioner
1514 G ST
LEWISTON, ID 83501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194537084, enumerated as an "individual" on January 27, 2025.

The provider is located at 1514 G ST LEWISTON, ID 83501 and the phone number is (208) 816-6078.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.