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KAYLEE MARIE ETHRIDGE LMSW
NPI 1043021207
Social Worker in Pocatello, ID

Active since January 16, 2025
101 S MAIN ST, POCATELLO, ID 83204(208) 232-8840 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaylee Marie Ethridge Lmsw NPPES

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

KAYLEE MARIE ETHRIDGE LMSW (NPI 1043021207) is an individual social worker in Pocatello, Idaho, licensed in Idaho (5271240) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1043021207
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKAYLEE MARIE ETHRIDGECredential: LMSW
Location Address101 S MAIN STPocatello, ID 83204-3210
Mailing Address4317 Opal Ave Trlr 36Pocatello, ID 83204-2145
Phone(208) 232-8840
Sole ProprietorNo
Enumeration DateJanuary 16, 2025
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1043021207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ID · 5271240
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
101 S MAIN ST, Pocatello, ID 83204
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA HALL
Counselor (Addiction (Substance Use Disorder))
101 S MAIN ST
POCATELLO, ID 83204
Power County (208) 232-8840
DARRELL CUNNINGHAM
Counselor (Addiction (Substance Use Disorder))
101 S MAIN ST
POCATELLO, ID 83204
Power County (208) 232-8840
KRISTEN JEX LPC
Counselor (Mental Health)
101 S MAIN ST
POCATELLO, ID 83204
Power County (208) 232-8840
SHELBY LEIGH TURK RICE LPC, CRC, NCC
Counselor (Mental Health)
101 S MAIN ST
POCATELLO, ID 83204
Power County (208) 232-8840
BETTINA THROCKMORTON
Counselor (Mental Health)
101 S MAIN ST
POCATELLO, ID 83204
Power County (208) 232-8840
MOSIAH CASTREJON LPC, NCC
Counselor (Mental Health)
101 S MAIN ST
POCATELLO, ID 83204
Power County (208) 232-8840
JENNIFER BUNDERSON
Counselor (Addiction (Substance Use Disorder))
101 S MAIN ST
POCATELLO, ID 83204
Power County (208) 221-1027

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 Kaylee Ethridge's NPI number?

The NPI number for Kaylee Ethridge is 1043021207. It was assigned to this individual provider in the NPPES registry on January 16, 2025.

Where is Kaylee Ethridge located?

Kaylee Ethridge practices at 101 S Main St, Pocatello, ID 83204. The listed phone number is (208) 232-8840.

What is Kaylee Ethridge's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kaylee Ethridge was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.