Kaela Grace Whitehead, LCSW is a
Social Worker - Clinical based in Meridian, Idaho. Kaela Grace Whitehead is licensed to practice in Idaho (license number LCSW38786) and her current practice location is
2022 E Challis Dr, Meridian, Idaho. She can be reached at her office (for appointments etc.) via phone at
(714) 261-0302.
NPI number for Kaela Grace Whitehead is 1174069744 and her current mailing address is 2022 E Challis Dr, Meridian, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174069744.
Healthcare Provider's Profile
| Full Name | Kaela Grace Whitehead |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2022 E Challis Dr, Meridian, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174069744
- Provider Enumeration Date: 01/06/2017
- Last Update Date: 12/19/2023
Medical Identifiers
Medical identifiers for Kaela Grace Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174069744 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LMSW36309 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW38786 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaela Grace Whitehead is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kaela Grace Whitehead, LCSW
2022 E Challis Dr,
Meridian, ID 83646-7370
Ph: (208) 649-4203 | Kaela Grace Whitehead, LCSW
2022 E Challis Dr,
Meridian, ID 83646-7370
Ph: (714) 261-0302 |
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