Casey Malia Vincent, LCSW is a
Social Worker - Clinical based in Kellogg, Idaho. Casey Malia Vincent is licensed to practice in Idaho (license number 40088) and her current practice location is
740 Mckinley Ave, Kellogg, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 783-1267.
NPI number for Casey Malia Vincent is 1679094940 and her current mailing address is Po Box 1387, Hayden, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679094940.
Healthcare Provider's Profile
| Full Name | Casey Malia Vincent |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 740 Mckinley Ave, Kellogg, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679094940
- Provider Enumeration Date: 06/27/2017
- Last Update Date: 10/05/2020
Medical Identifiers
Medical identifiers for Casey Malia Vincent such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679094940 | NPI | - | NPPES |
| 36778 | Other | ID | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LMSW-36778 (Idaho) | Secondary |
| 104100000X | Social Worker | 36778 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | 40088 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Casey Malia Vincent is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Casey Malia Vincent, LCSW
Po Box 1387,
Hayden, ID 83835-1387
Ph: (208) 415-0299 | Casey Malia Vincent, LCSW
740 Mckinley Ave,
Kellogg, ID 83837-2693
Ph: (208) 783-1267 |
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