Provider Demographics
NPI:1790115137
Name:PRICE, WHITNEY KATHRYN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:KATHRYN
Last Name:PRICE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:KATHRYN
Other - Last Name:GODSILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:6855 W FAIRVIEW AVE
Mailing Address - Street 2:#120
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-8046
Mailing Address - Country:US
Mailing Address - Phone:208-323-8888
Mailing Address - Fax:208-323-8889
Practice Address - Street 1:6855 W FAIRVIEW AVE
Practice Address - Street 2:#120
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-8046
Practice Address - Country:US
Practice Address - Phone:208-323-8888
Practice Address - Fax:208-323-8889
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-21
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID356311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical