Samantha Gregston, LCSW Valid NPI
Individual provider · Clinical Social Worker · Rexburg, ID
- NPI
- 1972218626
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 8911199 (ID)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2023-01-17
- Last updated
- 2025-10-07
Practice location
859 S Yellowstone Hwy Ste 203
Rexburg, ID 83440-5294
(208) 269-6980