IndividualActive
Altan Hardcastle, LCSW
NPI 1457521114 · Clinical Social Worker · Pocatello, ID
Provider details
- NPI number
- 1457521114
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- LCSW-28700 (ID)
Mailing address
499 Kurtwood Dr
Pocatello, ID 83204-3556
Registry dates
- Enumerated
- 2008-03-08
- Last updated
- 2008-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.