Individual provider · Type 1 NPI

Jamie Tisa Coffey-Kelly, LCSW

Clinical Social Worker · Cascade, ID

NPI number 1992135818 Active

Practice location

402 Lake Cascade Pkwy
Cascade, ID 83611-7702

Call (208) 382-4285 Map

Fax (208) 382-5081

Mailing address

PO Box 1330
Cascade, ID 83611-1330

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-37639 (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 1992135818

Jamie Tisa Coffey-Kelly, LCSW's National Provider Identifier is 1992135818, issued on Nov 13, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cascade, ID. The record was last updated on Feb 22, 2021.