Jacey Jo Mae Langston, LMSW is a 
Social Worker based in Kamiah, Idaho. Jacey Jo Mae Langston is licensed to practice in Idaho (license number LMSW-8921871) and her current practice location is 
411 Main Street Unit G, Kamiah, Idaho. She can be reached at her office (for appointments etc.) via phone at 
(208) 683-8320.
NPI number for Jacey Jo Mae Langston is 1225863384 and her current mailing address is 148 S Cole Rd, Boise, Idaho. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225863384.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Jacey Jo Mae Langston | 
|---|
| Gender | Female | 
|---|
| Speciality | Social Worker | 
|---|
| Location | 411 Main Street Unit G, Kamiah, Idaho | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1225863384
 - Provider Enumeration Date: 09/06/2024
 - Last Update Date: 07/21/2025
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Jacey Jo Mae Langston such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1225863384 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 101YM0800X | Counselor - Mental Health  | LMSW-8921871 (Idaho) | Secondary | 
| 1041C0700X | Social Worker - Clinical  | LSW-42591 (Idaho) | Secondary | 
| 104100000X | Social Worker  | LMSW-8921871 (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. Jacey Jo Mae Langston 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 | 
		Jacey Jo Mae Langston, LMSW 148 S Cole Rd, Boise, ID 83709-0932 Ph: (208) 683-8320 | Jacey Jo Mae Langston, LMSW 411 Main Street Unit G, Kamiah, ID 83536 Ph: (208) 683-8320 | 
		
		 
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