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

Kaylee Marie Ethridge, LMSW

Individual provider Social Worker · NPI 1043021207

Kaylee Marie Ethridge, LMSW is a Social Worker in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2025.

Licensed in
ID
In the registry since
2025
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

See every abbreviation used in this directory →

Practice location Address checks out

101 S Main St
Pocatello, ID 83204-3210
Phone: (208) 232-8840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 5271240 (ID)

Record details

NPI number1043021207
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedJanuary 16, 2025
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

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