Individual provider · Type 1 NPI

Casey Malia Vincent, LCSW

Clinical Social Worker · Kellogg, ID

NPI number 1679094940 Active

Practice location

740 Mckinley Ave
Kellogg, ID 83837-2693

Call (208) 783-1267 Map

Mailing address

PO Box 1387
Hayden, ID 83835-1387

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLMSW-36778 (ID)
Social Worker 104100000X36778 (ID)
Clinical Social Worker Primary 1041C0700X40088 (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 1679094940

Casey Malia Vincent, LCSW's National Provider Identifier is 1679094940, issued on Jun 27, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kellogg, ID. The record was last updated on Oct 5, 2020.