Summer Mangelson
Social Worker in Ammon, ID. Individual provider (NPI-1).
NPI number1003728478
StatusActive
Last updated in NPPESSep 21, 2026
Details
- NPI
- 1003728478
- Entity type
- Individual (NPI-1)
- Name
- Summer Mangelson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2026
- Certification date
- Sep 21, 2026
- Last updated
- Sep 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
| 175T00000X | Peer Specialist | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
2705 E 17th StAmmon, ID 83406-6669
Phone 208-346-7500
Mailing address
2705 E 17th StAmmon, ID 83406-6669
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