IndividualActive
Willow Kenyon, LCSW
NPI 1982076410 · Clinical Social Worker · Plummer, ID
Provider details
- NPI number
- 1982076410
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- LCSW-37482 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
427 N 12th St
Plummer, ID 83851-0388
Phone: (208) 686-1931
Fax: (208) 686-0213
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 388
Plummer, ID 83851-0388
Registry dates
- Enumerated
- 2015-10-23
- Last updated
- 2022-04-06
- Certified
- 2022-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.