Provider Type Icon

DARWIN RAY KELLICUT MSW NPI 1417965781


NPI Information

NPI: 1417965781
Provider Name: DARWIN RAY KELLICUT, MSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
1420 LINCOLN WAY STE 500
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 667-8474
Get Directions

Darwin Ray Kellicut, MSW is a clinical social worker in Coeur D Alene, ID. The provider is 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 licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Darwin Ray Kellicut, MSW NPI is 1417965781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1420 LINCOLN WAY STE 500
COEUR D ALENE, ID
ZIP 83814-391
Phone: (208) 667-8474
Fax: (208) 665-5704

The enumeration date for this NPI number is 8/3/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalLCSW 179IDAHOYes
21041C0700XSocial WorkerClinicalLW00004911WASHINGTONX
3106H00000XMarriage & Family TherapistLMFT 3089IDAHOX
4106H00000XMarriage & Family TherapistLF00001127WASHINGTONX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.