NPI 1750030573 · live from the CMS NPI Registry
Kelly Michelle Andrews, LMSW
Social Worker in Boise, ID. National Provider Identifier 1750030573, active.
NPI record
| NPI | 1750030573 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 190 E Bannock St, Boise, ID 83712 |
| Practice phone | 208-420-9780 |
| Mailing address | 1790 E Raintree Dr, Boise, ID 83712 |
| Enumerated | March 20, 2022 |
| Last updated | March 20, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | LMSW-41817 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.