IndividualActive
David Nystrom, LCSW
NPI 1194537084 · Clinical Social Worker · Lewiston, ID
Provider details
- NPI number
- 1194537084
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1514 G St
Lewiston, ID 83501-2017
Phone: (208) 816-6078
Street-level locationGet directions
Mailing address
419 22nd Ave
Lewiston, ID 83501-3812
Registry dates
- Enumerated
- 2025-01-27
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.