P Praxis·MD
● Active Type 1 · Individual

Jordan Kelley, LMSW

Social Worker·Lewiston, ID· NPI 1285420778 · Enumerated 2025 · 1 years on NPI
Kelley is 1 of 36 social worker providers in Lewiston and 1 of 1613 in Idaho.
NPI age
1 years
Enumerated 2025-04-19
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-04-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1613 active social worker providers in Idaho.

NPI age
1 years
↓ 4 yr below median (5 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-04Enumerated in NPPES
2025 2026

Where they practice

Practice location
514 Thain Rd Unit B
Lewiston, ID 835015533
📞 2087463398
Mailing address
40432 Waha Glen Rd
Lewiston, ID 835015287
📞 2537400025

Specialties

  • Social Worker Primary
    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...
    ID license #3861573 taxonomy 104100000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new social worker provider has been added in Lewiston in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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