Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679094940 Individual Practitioner Female Practitioner

Casey Malia Vincent , LCSW

Social Worker - Clinical • Kellogg, ID

Professional Overview & Biography Verified Profile Summary

Casey Vincent, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Kellogg, ID. Practice services are available at 740 MCKINLEY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

740 Mckinley Ave

Kellogg, ID 838372693

Telephone 2087831267
Associated Practice Facility / Clinic
🏢 Kellogg Physical Therapy Inc Facility NPI 1700898376

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Kellogg, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Kellogg, ID (1803 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-05
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License ID 40088

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License ID LMSW-36778

Definition to come...

Social Worker

NUCC Taxonomy Code: 104100000X

State License ID 36778

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
36778 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Theresa Calihan , MSN FNP

Nurse Practitioner - Family

NPI 1003364696

MSNFNP

Karen Currie , LCSW

Social Worker - Clinical

NPI 1144697814

Licensed Clinical Social Worker

Lindsey Hill , CHCW

Case Manager/Care Coordinator

NPI 1205445574
NPI 1285678912

Doctor of Medicine (M.D.)

Dr. Frederick Haller , MD

Internal Medicine

NPI 1396797726

Doctor of Medicine (M.D.)

NPI 1457346603

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated October 05, 2020

Recorded as CASEY VINCENT, LCSW

📍
Updated Business Mailing Address May 18, 2020

Registered at PO BOX 1387, HAYDEN, ID 838351387 (Tel: 2084150299)

NPI Profile Active June 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2017

Registered at 740 MCKINLEY AVE, KELLOGG, ID 838372693 (Tel: 2087831267)

📍
Updated Business Mailing Address June 27, 2017

Registered at 571 REYNOLDS RD, KINGSTON, ID 838398729 (Tel: 4062605977)

👤
Provider Name / Credentials Updated June 27, 2017

Recorded as CASEY VINCENT, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2017

Counselor (License #LMSW-36778 in ID)

🟢
Initial NPI Registration & Enumeration June 27, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679094940
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2017
Last Update: October 05, 2020
Sole Proprietor: Yes

Mailing Address

Po Box 1387

Hayden, ID 838351387

Phone: 2084150299

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.