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
Behavior Technician
1514 G ST
LEWISTON, ID 83501

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 David Nystrom's NPI number?

The NPI number for David Nystrom is 1194537084. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Where is David Nystrom located?

David Nystrom practices at 1514 G St, Lewiston, ID 83501. The listed phone number is (208) 816-6078.

What is David Nystrom'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 David Nystrom was last updated on January 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.