| Terrell L Kelly, LCSW | |
|
120 E Howard St, Driggs, ID 83422-5112 | |
| (208) 354-6317 | |
| Not Available |
| Full Name | Terrell L Kelly |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 120 E Howard St, Driggs, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417015876 | NPI | - | NPPES |
| 0000010015891 | Other | ID | BLUE SHIELD |
| L4314 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-431 (Idaho) | Primary |
| 1041C0700X | Social Worker - Clinical | LCSW-454 (Wyoming) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Terrell L Kelly, LCSW 120 E Howard St, Driggs, ID 83422-5112 Ph: (208) 354-6317 | Terrell L Kelly, LCSW 120 E Howard St, Driggs, ID 83422-5112 Ph: (208) 354-6317 |
Christina Ella Emde Riley, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 158 N Orth First East Street, Driggs, ID 83422 Phone: 307-730-7060 Fax: 208-787-5683 | |
Alex Suarez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 85 S Main St, Driggs, ID 83422 Phone: 208-354-3005 | |
Jeff Roelke, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 89 N Main St, Driggs, ID 83422 Phone: 208-201-7049 | |
Louis J Parri, CSWP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 50 Ski Hill Rd, Driggs, ID 83422 Phone: 208-354-3128 Fax: 208-354-3128 |