Inspire Change Therapeutic Services PLLC
Social Worker, Clinical in Ponderay, ID. Organization (NPI-2).
NPI number1164217873
StatusActive
Last updated in NPPESDec 17, 2025
Details
- NPI
- 1164217873
- Entity type
- Organization (NPI-2)
- Legal business name
- Inspire Change Therapeutic Services PLLC
- Organization subpart
- No
- Enumeration date
- Apr 12, 2025
- Certification date
- Dec 17, 2025
- Last updated
- Dec 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
30410 Highway 200 # 200r-3Ponderay, ID 83852-9601
Phone 208-290-5285
Mailing address
30410 Highway 200 Ste 200r-3Ponderay, ID 83852-9601
Phone 208-610-4861
Authorized official
Michaella A Hammersberg
Owner
2086104861
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Social Worker providers in Ponderay, ID
- 7b Psychotherapy, LLCNPI 1801614557
- Lindsey M BasnawNPI 1184280968
- Jessica Raeanne ChapmanNPI 1245967512
- Arleen Mae ErlandNPI 1326311754
- Sadie GreenNPI 1114388105
- Adam Kusler, LCSWNPI 1285953000
- Jordan Lande, LCSWNPI 1346987625
- Anna Louise Lawrence, LCSWNPI 1003277039
- Amber C Moir-Brow, LCSW, ACADCNPI 1730423815
All 10 Clinical Social Worker providers in Ponderay · All 114 providers in Ponderay
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.