STACEY TITUS PLLC


Address: 5440 W Franklin Rd Ste 201, Boise, ID 83705-6434
Phone: 2088602656

STACEY TITUS PLLC (NPI# 1417577412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417577412
Entity Type Organization
Organization Name STACEY TITUS PLLC
Practice Address 5440 W Franklin Rd Ste 201
Boise
ID 83705-6434
Mailing Address 11868 W Gunsmoke Dr
Boise
ID 83713-4753
Practice Telephone 2088602656
Mailing Telephone 2088602656
Enumeration Date 2020-04-20
Last Update Date 2020-04-20
Authorized Official Name MRS. STACEY TITUS (LICENSED CLINICAL SOCIAL WORKER)
Authorized Official Telephone 2088602656
Authorized Official Credential LCSW38145
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Clearwater Counseling Services Doing Business As Name - Organization

Office Location

Street Address 5440 W FRANKLIN RD STE 201
City BOISE
State ID
Zip Code 83705-6434

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053938779 Halo Health Services LLC Community/Behavioral Health 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 2020-06-29
1598265860 Felica Jo Duce Counselor 921 S Orchard St Ste 103, Boise, ID 83705 2018-02-13
1215364278 Erica Zelickowski Pharmacist 1653 S Vista Avenue, Boise, ID 83705 2013-10-04
1952655490 Aida Dizdar-barac Social Worker 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 2012-11-06
1033461033 Julie Marie Meek Social Worker 3324 W Elder St, Boise, ID 83705 2012-10-15
1568761112 Berkeley Fraser Pharmacist 3527 S Federal Way Suite 104, Boise, ID 83705 2011-03-22
1922311042 Amber Vania Family Medicine 4971 W. Overland Road, Boise, ID 83705 2010-07-18
1295056836 Cherise M Wetzel Social Worker 1625 S Eagleson Rd, B1, Boise, ID 83705 2010-06-17
1558685305 Rae Ann Norell Social Worker 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 2010-03-23
1164679932 Oreana Harless Social Worker 2550 South Vista Ave, Boise, ID 83705 2008-08-25
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679171961 Jill Michelle Chonody Social Worker 3134 S Waterbury Ln, Boise, ID 83706-5222 2020-10-09
1750999777 Deanna Armenia Brent Social Worker 7450 W Althea Ct, Boise, ID 83709-1777 2020-07-15
1013533231 Sylvia Oh Social Worker 2118 S Latah St, Boise, ID 83705-3947 2020-06-23
1447888656 Berndt and Associates In Psychcare LLC Social Worker 4477 W Emerald St Ste C275, Boise, ID 83706-2078 2020-04-01
1528690773 Marc Adrian Dominguez Social Worker 1299 N Orchard St Ste 110, Boise, ID 83706-2266 2020-02-06
1235774407 Wildflower Intuitive Center, LLC Social Worker 4696 W Overland Rd Ste 276, Boise, ID 83705-2877 2019-11-12
1558903328 Daring In Idaho, LLC Social Worker 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 2019-10-14
1821550203 Alturas Counseling Social Worker 204 S Cole Rd, Boise, ID 83709-0934 2019-04-03
1750859856 Jani Lynn Belcoe Social Worker 3029 N 32nd St, Boise, ID 83703-5001 2018-11-06
1679057244 Annapurna Counseling, LLC Social Worker 7669 W Riverside Dr Ste 101, Boise, ID 83714-6183 2018-09-19
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Competitor

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City BOISE
Zip Code 83705

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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