P Praxis·MD
● Active Type 1 · Individual

MS. Taylor Rae, P-LCSW

Social Worker·Donnelly, ID· NPI 1639457559 · Enumerated 2011 · 14 years on NPI
Rae is 1 of 3 social worker providers in Donnelly and 1 of 2000 in Idaho.
NPI age
14 years
Enumerated 2011-07-26
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
ID, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-02-04
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
14 years
↑ 4 yr above median (10 yr)
State licenses
2 states
Top 91% — 9% of peers are multi-state
Subspecialties
1
In the 29% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-07Enumerated in NPPES
2011 2026

Where they practice

Practice location
Po Box 1192
Donnelly, ID 836151100
📞 2539682303fax 2539681151
Mailing address
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 984311100
📞 2539682303fax 2539681151

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 #LCSW36537 taxonomy 1041C0700X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    NC license #P-006670 taxonomy 390200000X

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 Donnelly 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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