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MICHELE KELLY LCSW
NPI 1033541933
Social Worker - Clinical in Blackfoot, ID

Active since August 01, 2013
295 CENTENNIAL STREET, BLACKFOOT, ID 83221(208) 680-4086 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michele Kelly Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELE KELLY LCSW (NPI 1033541933) is an individual clinical provider in Blackfoot, Idaho, licensed in Idaho (LCSW-30317) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1033541933
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELE KELLYCredential: LCSW
Location Address295 CENTENNIAL STREETBlackfoot, ID 83221-2700
Mailing Address295 Centennial StBlackfoot, ID 83221-3963 · (208) 680-4086
Phone(208) 680-4086
Sole ProprietorNo
Enumeration DateAugust 1, 2013
Last NPPES UpdateApril 16, 2014
✔ NPI 1033541933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · LCSW-30317
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
295 CENTENNIAL STREET, Blackfoot, ID 83221
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michele Kelly's NPI number?

The NPI number for Michele Kelly is 1033541933. It was assigned to this individual provider in the NPPES registry on August 1, 2013.

Where is Michele Kelly located?

Michele Kelly practices at 295 Centennial Street, Blackfoot, ID 83221. The listed phone number is (208) 680-4086.

What is Michele Kelly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Michele Kelly was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.