IndividualActive
Ali Shields, LCSW
NPI 1699412304 · Clinical Social Worker · Boise, ID
Provider details
- NPI number
- 1699412304
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LMSW-37156 (ID)
Mailing address
5685 S Santa Cruz Way
Boise, ID 83709-5164
Registry dates
- Enumerated
- 2022-05-14
- Last updated
- 2025-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.