IndividualActive
Amy Beitia, LCSW
NPI 1104223080 · Clinical Social Worker · Fruitland, ID
Provider details
- NPI number
- 1104223080
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- L7925 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
320 Magnolia Ave
Fruitland, ID 83619-5080
Phone: (208) 250-7059
Approximate (ZIP-level) locationGet directions
Mailing address
320 Magnolia Ave
Fruitland, ID 83619-5080
Registry dates
- Enumerated
- 2014-11-20
- Last updated
- 2022-08-24
- Certified
- 2022-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.