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NPI Code Detail

MEDICARE: BRITNEY DURRELL LCSW

MEDICARE: BRITNEY DURRELL LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker8911389ID

General Provider Information

NPI Number : 1689448557
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITNEY DURRELL LCSW
Provider Business Mailing Address
First Line : 1055 N CURTIS RD
Second Line :
City : BOISE
State : ID
Zip : 83706-1309
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1055 N CURTIS RD
Second Line :
City : BOISE
State : ID
Zip : 83706-1309
Country : US
Telephone Number : 208-302-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2023
Last Update Date : 03/24/2026

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Directions to “ BRITNEY DURRELL LCSW” Practice Location

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