Individual provider · Type 1 NPI

Kaylee Marie Ethridge, LMSW

Social Worker · Pocatello, ID

NPI number 1043021207 Active

Practice location

101 S Main St
Pocatello, ID 83204-3210

Call (208) 232-8840 Map

Mailing address

4317 Opal Ave Trlr 36
Pocatello, ID 83204-2145

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000X5271240 (ID)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1043021207

Kaylee Marie Ethridge, LMSW's National Provider Identifier is 1043021207, issued on Jan 16, 2025. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Pocatello, ID. The record was last updated on Jul 18, 2025.