CLAIR THERESE WARDWELL LCSW
NPI 1619495025
Social Worker - Clinical in Boise, ID

Q: What is Clair Wardwell's NPI number?

The NPI number for Clair Wardwell is 1619495025. It was assigned to this individual provider in the NPPES registry on September 6, 2017. The provider is also known as Clair Therese Shackelford Lcsw.

Q: What is Clair Wardwell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clair Wardwell was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 06, 2017

190 E BANNOCK ST, BOISE, ID 83712(208) 381-2222 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2023, Jun 16, 2018 (2 updates tracked since 2018).

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About Clair Therese Wardwell Lcsw NPPES

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

CLAIR THERESE WARDWELL LCSW (NPI 1619495025) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LCSW-42909) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1619495025

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCLAIR THERESE WARDWELLCredential: LCSW

Location Address190 E BANNOCK STBoise, ID 83712-6241

Mailing Address2420 American Legion BlvdMountain Home, ID 83647-3146

Phone(208) 381-2222

Sole ProprietorNo

Enumeration DateSeptember 6, 2017

Last NPPES UpdateMay 19, 20232 updates tracked since enumeration

NPPES CertifiedMay 19, 2023

✔ NPI 1619495025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in ID · LCSW-42909

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 36837 (ID)

190 E BANNOCK ST, Boise, ID 83712

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Other Names 1

Former Name (1)Clair Therese Shackelford Lcsw

Other Providers at the Same Location NPPES 20

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

NORA M SUAREZ NP

Nurse Practitioner (Neonatal, Critical Care)