IndividualActive
Amy Leavitt
NPI 1083563795 · Social Worker · Star, ID
Provider details
- NPI number
- 1083563795
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LMSW-36213 (ID)
Mailing address
24840 Valley Run Pl
Star, ID 83669-5968
Registry dates
- Enumerated
- 2026-01-26
- Last updated
- 2026-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.