Provider Demographics
NPI:1528494739
Name:GINDER, WHITNEY D (LCSW)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:D
Last Name:GINDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:D
Other - Last Name:HOLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:417 SHOUP AVE W
Mailing Address - Street 2:SUITE B
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-5028
Mailing Address - Country:US
Mailing Address - Phone:208-736-9999
Mailing Address - Fax:208-736-4400
Practice Address - Street 1:417 SHOUP AVE W
Practice Address - Street 2:SUITE B
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-5028
Practice Address - Country:US
Practice Address - Phone:208-736-9999
Practice Address - Fax:208-736-4400
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-326781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical