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KELLY E WEDEVEN LCSW
NPI 1912923871
Social Worker - Clinical in Boise, ID

Active since July 14, 2006Opted out of Medicare · through Jul 1, 2027
131 N ALLUMBAUGH ST, BOISE, ID 83704(208) 367-2175(208) 376-0285 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly E Wedeven Lcsw NPPES

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

KELLY E WEDEVEN LCSW (NPI 1912923871) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LCSW24754) and active in the NPI registry since July 2006. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1912923871
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY E WEDEVENCredential: LCSW
Location Address131 N ALLUMBAUGH STBoise, ID 83704-9204
Mailing Address131 N Allumbaugh StBoise, ID 83704-9204 · (208) 367-2175 · Fax (208) 376-0285
Phone(208) 367-2175
Fax(208) 376-0285
Sole ProprietorYes
Enumeration DateJuly 14, 2006
Last NPPES UpdateJune 15, 2023
NPPES CertifiedJune 15, 2023
✔ NPI 1912923871 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 · LCSW24754
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.
131 N ALLUMBAUGH ST, Boise, ID 83704
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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

ⓘ

Opted out of Medicare

Kelly E Wedeven Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

ALANA JO BRUNNER LCPC, NCC
Counselor (Professional)
131 N ALLUMBAUGH ST
BOISE, ID 83704
Ada County (208) 367-6229
ANNA ARMENDARIZ NP
Nurse Practitioner (Psychiatric/Mental Health)
131 N ALLUMBAUGH ST
BOISE, ID 83704
Ada County (208) 302-0900
MS. INGER M PERSSON LCSW
Social Worker (Clinical)
131 N ALLUMBAUGH ST
BOISE, ID 83704
Ada County (208) 302-0900
SHELLY S CONLEY-DURKIN LCSW
Social Worker (Clinical)
131 N ALLUMBAUGH ST
BOISE, ID 83704
Ada County (208) 367-2175
BRIAN SCOTT COLEMAN LCSW
Social Worker (Clinical)
131 N ALLUMBAUGH ST
BOISE, ID 83704
Ada County (208) 367-3189
DAMIANA L UBERUAGA LCSW
Social Worker (Clinical)
131 N ALLUMBAUGH ST
BOISE, ID 83704
Ada County (208) 367-2175
DEANNA M JOHANNSEN LCSW
Social Worker (Clinical)
131 N ALLUMBAUGH ST
BOISE, ID 83704
Ada County (208) 367-2175
MRS. JAYNE DERR LCSW
Social Worker (Clinical)
131 N ALLUMBAUGH ST
BOISE, ID 83704
Ada County (208) 302-0900

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 Kelly Wedeven's NPI number?

The NPI number for Kelly Wedeven is 1912923871. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Kelly Wedeven located?

Kelly Wedeven practices at 131 N Allumbaugh St, Boise, ID 83704. The listed phone number is (208) 367-2175.

What is Kelly Wedeven's specialty?

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

Is Kelly Wedeven enrolled in Medicare?

No. Kelly Wedeven has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelly Wedeven accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Kelly Wedeven as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Wedeven was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.