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

Kellie King, CSW-INTERN

Individual provider Clinical Social Worker · NPI 1780199828

Kellie King, CSW-INTERN is a Clinical Social Worker in Mountain Home AFB, Idaho. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2017

Practice location Address checks out

90 Hope Dr Bldg 6000
Mountain Home AFB, ID 83648-1062
Phone: (208) 828-7580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence IC-1164 (NV)

Record details

NPI number1780199828
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSW-INTERN
Sole proprietorYes
NPI enumeratedDecember 12, 2017
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062

Other providers in Mountain Home AFB