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

Darwin Ray Kellicut, MSW

Individual provider Clinical Social Worker · NPI 1417965781

Darwin Ray Kellicut, MSW is a Clinical Social Worker in Coeur D Alene, Idaho. Licensed in Idaho and Washington. Registered with an NPI since 2006.

Licensed in
ID, WA
In the registry since
2006
Specialties on file
4
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

1420 Lincoln Way Ste 500
Coeur D Alene, ID 83814-2391
Phone: (208) 667-8474
Fax: (208) 665-5704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LF00001127 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW 179 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW00004911 (WA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence LMFT 3089 (ID)

Record details

NPI number1417965781
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESSeptember 11, 2025

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