Provider Demographics
NPI:1487337390
Name:GALER, MADISON A (LMSW)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:A
Last Name:GALER
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 1:2399 S ORCHARD ST STE 202
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83705-3795
Mailing Address - Country:US
Mailing Address - Phone:208-392-1317
Mailing Address - Fax:
Practice Address - Street 1:2399 S ORCHARD ST STE 202
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-3795
Practice Address - Country:US
Practice Address - Phone:208-392-1317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID43851104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker