Individual
KIMBERLY ANN NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1720 18TH AVE, LEWISTON, ID 83501-4047
(208) 746-4097
(208) 746-2294
Mailing address
1720 18TH AVE, LEWISTON, ID 83501-4047
(208) 746-4097
(208) 746-2294
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29893
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29893
LMSW LICENSE
ID
Enumeration date
01/28/2020
Last updated
01/05/2026
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