KENNETH WELLS LCSW - NPI 1912413279 - Social Worker in Boise, ID

Q: What is Kenneth Wells's NPI number?

The NPI number for Kenneth Wells is 1912413279. It was assigned to this individual provider in the NPPES registry on December 22, 2017.

Q: What is Kenneth Wells's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Wells was last updated on April 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kenneth Wells Lcsw NPPES

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

KENNETH WELLS LCSW (NPI 1912413279) is an individual clinical provider in Boise, Idaho, licensed in Idaho (39509) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1912413279

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameKENNETH WELLSCredential: LCSW

Location Address6348 W EMERALD STBoise, ID 83704-8732

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 302-0900 · Fax (208) 302-0955

Phone(208) 302-0900

Fax(208) 302-0955

Sole ProprietorYes

Enumeration DateDecember 22, 2017

Last NPPES UpdateApril 10, 20243 updates tracked since enumeration

NPPES CertifiedApril 10, 2024

✔ NPI 1912413279 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 · 39509

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.

6348 W EMERALD ST, Boise, ID 83704

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Secondary Practice Location 1

Location 12300 S Orchard St Ste CBoise, ID 83705-6722 · Phone (208) 219-5727

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Wells Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.44 – $160.17

Typical copayment $0.00 (range $13.11 – $40.04)

Most-billed visit code NA

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

XAVIER AL-MATEEN

Student in an Organized Health Care Education/Training Program