NPI age
4 years
Enumerated 2021-11-09
● Active Type 2 · Organization
Subpart
Kelly Companies, Llc
Kelly Companies, Llc is 1 of 2000 social worker organizations in Idaho.
Primary specialty
Social Worker
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Coffey-Kelly
President/ceo
Last NPPES update
2021-11-09
Source: monthly bulk 2026-05
How this organization compares
Across 2000 active social worker providers in Idaho.
NPI age
4 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
13019 Ponderosa Dr
Donnelly, ID 83615
Mailing address
Po Box 416
Donnelly, ID 836150416
Authorized official
Jamie Tisa Coffey-Kelly, LCSW
President/ceo
📞 2088808727
Specialties
-
Social Worker PrimaryA 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mountain Valley Counseling & Outdoor Therapy
Practice context
Single-site organization. Only one practice location on file.
Subpart of Kelly Companies, Llc.
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