NPI 1003826405

Joshua Charles Bode, LCSW

Practitioner Social Worker Boise, ID

Practice location

Address: 300 W Main St STE 151, Boise, ID 83702-7728
Phone: (208) 921-7190
Mailing address: 5647 W Lucky Dr, Boise, ID 83703-3141

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence LMSW-26553 (ID)

Other Social Worker providers in Idaho →

Registry record

NPI: 1003826405
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Aug 2006
Record last updated: 4 Jun 2023

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.