Individual provider · Type 1 NPI

Kaela Grace Whitehead, LCSW

Clinical Social Worker · Meridian, ID

NPI number 1174069744 Active

Practice location

2498 N Stokesberry Pl
Meridian, ID 83646-5150

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCSW38786 (ID)
Mental Health Counselor	101YM0800X	LMSW36309 (ID)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1174069744

Kaela Grace Whitehead, LCSW's National Provider Identifier is 1174069744, issued on Jan 6, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Meridian, ID. The record was last updated on Jun 10, 2026.