Whalio Doctors

NPI 1003842741

Kristina Marie Pugh, MSWLCSW

Practitioner Clinical Social Worker Caldwell, ID

Practice location

Address
13802 Quintessa St, Caldwell, ID 83607-5153
Phone
(801) 599-7123

Registered specialties (3)

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW-34310 (ID)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence X-07258 (NM)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence I 0800088 (OH)

Registry record

NPI
1003842741
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Jun 2006
Record last updated
18 Apr 2025

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.