OrganizationActive
Stacey Titus PLLC
NPI 1417577412 · Clinical Social Worker · Boise, ID
Provider details
- NPI number
- 1417577412
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Stacey Titus, Licensed Clinical Social Worker(208) 860-2656
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% 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
5440 W Franklin Rd Ste 201
Boise, ID 83705-6434
Phone: (208) 860-2656
Street-level locationGet directions
Mailing address
11868 W Gunsmoke Dr
Boise, ID 83713-4753
Other names (DBA / former)
- Doing business as
- Clearwater Counseling Services
Registry dates
- Enumerated
- 2020-04-20
- Last updated
- 2020-04-20
- Certified
- 2020-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.