NPI 1003054560

Lori Nicole Eaton, LCSW

Practitioner Clinical Social Worker Meridian, ID

Practice location

Address: 3709 N Locust Grove Rd STE 100, Meridian, ID 83646-6450
Phone: (208) 571-7100
Fax: (208) 493-4331

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW- 31259 (ID)

Other Social Worker providers in Idaho →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence LMSW 28083 (ID)

Registry record

NPI: 1003054560
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jan 2009
Record last updated: 17 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.