P Praxis·MD
● Active Type 1 · Individual

Casey Malia Vincent, LCSW

Social Worker·Kellogg, ID· NPI 1679094940 · Enumerated 2017 · 8 years on NPI
Vincent is 1 of 8 social worker providers in Kellogg and 1 of 2000 in Idaho.
NPI age
8 years
Enumerated 2017-06-27
Primary specialty
Social Worker
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-10-05
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
8 years
↓ 2 yr below median (10 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
2
In the 29% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-06Enumerated in NPPES
2017 2026

Where they practice

Practice location
740 McKinley Ave
Kellogg, ID 838372693
📞 2087831267
Mailing address
Po Box 1387
Hayden, ID 838351387
📞 2084150299fax 2086252070

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 #40088 taxonomy 1041C0700X
  • Counselor
    Definition to come...
    ID license #LMSW-36778 taxonomy 101YM0800X
  • 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 #36778 taxonomy 104100000X

Identifiers

TypeValueNotes
01 (ID) 36778 STATE LICENSE

Practice context

Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.

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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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