Provider Demographics
NPI:1114745676
Name:LOBNER, ANDREW SCOTT (LMSW)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:SCOTT
Last Name:LOBNER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8735 W PINE VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-0020
Mailing Address - Country:US
Mailing Address - Phone:208-608-6498
Mailing Address - Fax:
Practice Address - Street 1:8735 W PINE VALLEY LN
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-0020
Practice Address - Country:US
Practice Address - Phone:208-608-6498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical