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Charles Douglas Bryan
Clinical Social Worker in Blackfoot, Idaho
NPI 1689315111

Charles Douglas Bryan is a Clinical Social Worker based in Pocatello, ID and is specialized in Clinical. Charles Douglas Bryan practices in Blackfoot, ID. The NPI Number for Charles Douglas Bryan is 1689315111 and holds a License No. LMSW-27872 (Idaho).

The current practice location address for Charles Douglas Bryan is 373 W Highway 39 Ste 1, Blackfoot, ID and can be reached out via phone at 208-557-9450 and via fax at 208-561-7111. You can also correspond with Charles Douglas Bryan through the mailing address at 444 HOSPITAL WAY STE 422, POCATELLO, ID - 83201-2744 (mailing address contact number: 208-557-9450).

Location: 373 W Highway 39 Ste 1, Blackfoot, ID, 83201-2744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689315111
Provider Name
Charles Douglas Bryan
Credential
Provider Entity Type
Individual
Gender
Male
Address
373 W Highway 39 Ste 1, Blackfoot, ID, 83201-2744
Phone Number
208-557-9450
Fax Number
208-561-7111
Provider Enumeration Date
04/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
373 W Highway 39 Ste 1
City
Blackfoot
State
Idaho
Zip
83221-5228
Phone Number
208-557-9450
Fax Number
208-561-7111
person
Provider Business Mailing Address Details
Address
373 W Highway 39 Ste 1
City
Blackfoot
State
Idaho
Zip
83221-5228
Phone Number
208-557-9450
Fax Number
208-561-7111
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
LMSW-27872 (Idaho)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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