Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Casey Malia Vincent, LCSW

Individual provider Mental Health Counselor · NPI 1679094940

Casey Malia Vincent, LCSW is a Mental Health Counselor in Kellogg, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2017
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

740 McKinley Ave
Kellogg, ID 83837-2693
Phone: (208) 783-1267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 40088 (ID)
Mental Health Counselor Taxonomy 101YM0800X · Licence LMSW-36778 (ID)
Social Worker Taxonomy 104100000X · Licence 36778 (ID)

Record details

NPI number1679094940
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 27, 2017
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020
Mailing addressPo Box 1387, Hayden, ID 83835-1387

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