P Praxis·MD
● Active Type 1 · Individual

MRS. Jamie Tisa Coffey-Kelly, LCSW

Social Worker·Cascade, ID· NPI 1992135818 · Enumerated 2013 · 12 years on NPI
Coffey-Kelly is 1 of 5 social worker providers in Cascade and 1 of 2000 in Idaho.
NPI age
12 years
Enumerated 2013-11-13
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-02-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2000 active social worker providers in Idaho.

NPI age
12 years
↑ 2 yr above median (10 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-11Enumerated in NPPES
2013 2026

Where they practice

Practice location
402 Lake Cascade Pkwy
Cascade, ID 836117702
📞 2083824285fax 2083825081
Mailing address
Po Box 1330
Cascade, ID 836111330
📞 2083824285fax 2083825081

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-37639 taxonomy 1041C0700X

Practice context

Part of a multi-provider practice. 18 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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