IndividualActive
Alexi Fanopoulos, LMSW
NPI 1891442935 · Clinical Social Worker · Boise, ID
Provider details
- NPI number
- 1891442935
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- License
- LMSW-41913 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3076 N Five Mile Rd
Boise, ID 83713-5215
Phone: (208) 376-4999
Approximate (ZIP-level) locationGet directions
Mailing address
3076 N Five Mile Rd
Boise, ID 83713-5215
Registry dates
- Enumerated
- 2022-03-08
- Last updated
- 2022-03-08
- Certified
- 2022-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.