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

Mrs. Jamie Tisa Coffey-Kelly, LCSW

Individual provider Clinical Social Worker · NPI 1992135818

Mrs. Jamie Tisa Coffey-Kelly, LCSW is a Clinical Social Worker in Cascade, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
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

402 Lake Cascade Pkwy
Cascade, ID 83611-7702
Phone: (208) 382-4285
Fax: (208) 382-5081
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 LCSW-37639 (ID)

Record details

NPI number1992135818
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 13, 2013
Last updated in NPPESFebruary 22, 2021
Certification dateFebruary 22, 2021

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