IndividualActive
Amanda Russell, LCSW
NPI 1851841969 · Clinical Social Worker · Sandpoint, ID
Provider details
- NPI number
- 1851841969
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LMSW36080 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1218 N Division Ave Ste 217
Sandpoint, ID 83864-5054
Phone: (208) 610-6459
Fax: (208) 694-2139
Approximate (ZIP-level) locationGet directions
Mailing address
1317 Prominence Ct
Sandpoint, ID 83864-5412
Registry dates
- Enumerated
- 2016-10-12
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.