Individual
MS. CASEY DEANNE DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1105 W IRONWOOD DR # 406, COEUR D ALENE, ID 83814-2613
(208) 204-1443
Mailing address
1105 W IRONWOOD DR, COEUR D ALENE, ID 83814-2613
(208) 204-1443
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
07/18/2011
Last updated
07/21/2026
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