Ambrya Ande White, LCSW
Social Worker, Clinical in Rexburg, ID. Individual provider (NPI-1).
NPI number1144972753
StatusActive
Last updated in NPPESOct 14, 2025
Details
- NPI
- 1144972753
- Entity type
- Individual (NPI-1)
- Name
- Ambrya Ande White
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2022
- Certification date
- Oct 14, 2025
- Last updated
- Oct 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 8861841 | ID | Yes |
| 1041C0700X | Social Worker, Clinical | 23064 | AZ |
Practice location
393 E 2nd NRexburg, ID 83440-1605
Phone 208-359-4840 · Fax 208-359-9010
Mailing address
393 E 2nd NRexburg, ID 83440-1605
Phone 208-359-4840 · Fax 208-359-9010
Other practice locations
3453 Clearview Ln
Ammon, ID 83406-4702
Ammon, ID 83406-4702
Phone 208-359-4840 · Fax 208-359-9010
2119 E Chesapeake Dr
Gilbert, AZ 85234-3839
Gilbert, AZ 85234-3839
Phone 208-359-4840 · Fax 208-359-9010
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