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Active NPI 1982076410 Individual Practitioner Female Practitioner

Willow R Kenyon , LCSW

Social Worker - Clinical • Plummer, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Willow Kenyon, LCSW is a certified Social Worker - Clinical practicing in Plummer, ID. With approximately 11 years of clinical experience since completing medical education in 2015, Willow Kenyon delivers high-quality medical care to the local community at 427 N 12TH ST.

Willow Kenyon is affiliated with Benewah Medical Center and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

427 N 12th St

Plummer, ID 838510388

Telephone 2086861931
Fax 2086860213
Associated Practice Facility / Clinic
🏢 Benewah Medical Center Facility NPI 1336135136

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Plummer, ID

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +1.3 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Plummer, 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

Clinical Seniority & Experience Comparison

Dr. Kenyon (11 Years) 11 Yrs
Plummer Specialty Average (9.7 Years) 9.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-04-06
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License ID LCSW-37482

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Lcsw
37482 (ID)

Hospital & Practice Group Affiliations

Benewah Medical Center

Po Box, Plummer, ID 83851

Practice Associates & Co-Workers

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

40 Associated Practitioners
Katelyn Hammrich , PA

Physician Assistant

NPI 1003463902

Physician Assistant

Nikole Mills , APNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013192210

Advanced Practice Nurse Prescriber, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Jamie Smith , LPC

Counselor - Addiction (Substance Use Disorder)

NPI 1013237189

Licensed Professional Counselor

Ada Denny , RN

Registered Nurse - Ambulatory Care

NPI 1023004827

Registered Nurse

Michelle Moore , LPC

Counselor - Mental Health

NPI 1023572963

Licensed Professional Counselor

Dan Smith , PT

Physical Therapist

NPI 1043310303

Physical Therapist

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated April 06, 2022

Recorded as WILLOW KENYON, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2022

Social Worker (License #LCSW-37482 in ID)

NPI Profile Active October 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2015

Registered at 427 N 12TH ST, PLUMMER, ID 838510388 (Tel: 2086861931)

📍
Updated Business Mailing Address October 23, 2015

Registered at PO BOX 388, PLUMMER, ID 838510388 (Tel: 2086861931)

👤
Provider Name / Credentials Updated October 23, 2015

Recorded as WILLOW KENYON, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2015

Social Worker (License #LMSW 35157 in ID)

🟢
Initial NPI Registration & Enumeration October 23, 2015

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: 1982076410
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2015
Last Update: April 06, 2022
Sole Proprietor: No

Mailing Address

Po Box 388

Plummer, ID 838510388

Phone: 2086861931

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.