Individual provider · Type 1 NPI

Willow R. Kenyon, LCSW

Clinical Social Worker · Plummer, ID

NPI number 1982076410 Active

Practice location

427 N 12th St
Plummer, ID 83851-0388

Fax (208) 686-0213

Mailing address

PO Box 388
Plummer, ID 83851-0388

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-37482 (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 1982076410

Willow R. Kenyon, LCSW's National Provider Identifier is 1982076410, issued on Oct 23, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plummer, ID. The record was last updated on Apr 6, 2022.