P Praxis·MD
● Active Type 1 · Individual

MRS. Kelly Josephine Victorine, LMSW

Social Worker·Meridian, ID· NPI 1336443928 · Enumerated 2010 · 15 years on NPI
Victorine is 1 of 101 social worker providers in Meridian and 1 of 1613 in Idaho.
NPI age
15 years
Enumerated 2010-12-22
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-12-22
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
15 years
↑ 10 yr above median (5 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-12Enumerated in NPPES
2010 2026

Where they practice

Practice location
1650 S Topaz Way
Meridian, ID 836424474
📞 2088883151fax 2088880854
Mailing address
1650 S Topaz Way
Meridian, ID 836424474
📞 2088883151fax 2088880854

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 #LMSW-30564 taxonomy 104100000X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Recently enumerated nearby: 5 new social worker providers have been added in Meridian 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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