P Praxis·MD
● Active Type 1 · Individual

Amy Kelley, LCSW

Social Worker·Lewiston, ID· NPI 1619328044 · Enumerated 2016 · 9 years on NPI
Kelley is 1 of 44 social worker providers in Lewiston and 1 of 2000 in Idaho.
NPI age
9 years
Enumerated 2016-06-27
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-09-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2000 active social worker providers in Idaho.

NPI age
9 years
≈ at median (10 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 29% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-06Enumerated in NPPES
2016 2026

Where they practice

Practice location
4074 Lucky Ln
Lewiston, ID 835017025
📞 2087863398
Mailing address
4074 Lucky Ln
Lewiston, ID 835017025
📞 2087463398

Specialties

  • Social Worker Primary
    A 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...
    ID license #LCSW-38191 taxonomy 1041C0700X
  • Social Worker
    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 #LMSW35904 taxonomy 104100000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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