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General NPI Number Information
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NPI Number | 1467706358
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Entity Type | Individual
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Provider Name | JODI WARTHEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 3037B E 3400 N
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City | TWIN FALLS
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State | ID
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Zip | 83301-0321
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Country | US
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Telephone | 208-320-2252
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Fax |
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Provider Business Mailing Address
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Address Line | 3037B E 3400 N
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City | TWIN FALLS
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State | ID
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Zip | 83301-0321
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Country | US
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Telephone | 208-320-2252
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCSW-34057
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMSW31409
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW34057
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License Number State | ID
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