OrganizationActive
Advanced Clinical Trauma Services
NPI 1154954683 · Clinical Social Worker · Meridian, ID
Provider details
- NPI number
- 1154954683
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jewelya Stephens, Office Manager(208) 600-2184
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2950 E Magic View Dr Ste 192
Meridian, ID 83642
Phone: (208) 600-2184
Fax: (833) 258-9488
Approximate (ZIP-level) locationGet directions
Mailing address
2950 E Magic View Dr Ste 192
Meridian, ID 83642
Registry dates
- Enumerated
- 2020-02-12
- Last updated
- 2025-02-12
- Certified
- 2020-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.