Provider Demographics
NPI:1689929713
Name:MCCLEAFT, ESTHER ANN (LMSW)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:ANN
Last Name:MCCLEAFT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6864 LAMPLIGHTER ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83714-2443
Mailing Address - Country:US
Mailing Address - Phone:208-598-0372
Mailing Address - Fax:
Practice Address - Street 1:1224 1ST ST S
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-3900
Practice Address - Country:US
Practice Address - Phone:208-442-8052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-15
Last Update Date:2012-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID32216104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker