Lori Nicole Eaton
Social Worker Clinical Social Worker
3709 N Locust Grove Rd Ste 100
Meridian
, Idaho 83646-6450
Lori Nicole Eaton
Social Worker Clinical Social Worker
3709 N Locust Grove Rd Ste 100
Meridian
, Idaho 83646-6450
(208) 493-4331
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About
Features
Specialties
- Social Worker
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Lori Nicole Eaton
- 3709 N Locust Grove Rd Ste 100
- Meridian, ID
- Zip : 83646-6450
- Fax : (208) 493-4331
- Phone : (208) 571-7100
Second Address
- Lori Nicole Eaton
- 3709 N Locust Grove Rd Ste 100
- Meridian, ID
- Zip : 83646-6450
- Fax : (208) 493-4331
- Phone : (208) 571-7100
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 104100000X | Social Worker | LMSW 28083 | ID |
| Y | 1041C0700X | Clinical Social Worker | LCSW- 31259 | ID |
National Provider Identifier
| NPI | 1003054560 |
|---|---|
| Provider Name | Lori Nicole Eaton |
| First Address | Meridian, ID 83646-6450 |
| Second Address | Meridian, ID 83646-6450 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/01/2009 |
| Last Update Date | 17/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1041C0700X | TAXONOMY (01) | ID |
| 20001460 | PTAN (01) | ID |
| 806968300 | (05) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.