IndividualActive
Ambrya White, LCSW
NPI 1144972753 · Clinical Social Worker · Rexburg, ID
Provider details
- NPI number
- 1144972753
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 8861841 (ID)
Practice location
393 E 2nd N
Rexburg, ID 83440-1605
Phone: (208) 359-4840
Fax: (208) 359-9010
Mailing address
393 E 2nd N
Rexburg, ID 83440-1605
Registry dates
- Enumerated
- 2022-01-25
- Last updated
- 2025-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.