Darwin Ray Kellicut, MSW in Coeur D Alene, ID - Marriage & Family Therapist

Darwin Ray Kellicut, MSW is a Marriage & Family Therapist based in Coeur D Alene, Idaho. Darwin Ray Kellicut is licensed to practice in Washington (license number LF00001127) and his current practice location is 1420 Lincoln Way Ste 500, Coeur D Alene, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 667-8474.

NPI number for Darwin Ray Kellicut is 1417965781 and his current mailing address is 1420 Lincoln Way Ste 500, Coeur D Alene, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417965781.

Contact Information

	Darwin Ray Kellicut, MSW
	1420 Lincoln Way Ste 500, Coeur D Alene, ID 83814-2391
	(208) 667-8474
	(208) 665-5704

Healthcare Provider's Profile

Full Name	Darwin Ray Kellicut
Gender	Male
Speciality	Marriage & Family Therapist
Location	1420 Lincoln Way Ste 500, Coeur D Alene, Idaho
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1417965781
Provider Enumeration Date: 08/03/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Darwin Ray Kellicut such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417965781	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW 179 (Idaho)	Primary
1041C0700X	Social Worker - Clinical	LW00004911 (Washington)	Primary
106H00000X	Marriage & Family Therapist	LMFT 3089 (Idaho)	Primary
106H00000X	Marriage & Family Therapist	LF00001127 (Washington)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Darwin Ray Kellicut is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Darwin Ray Kellicut, MSW 1420 Lincoln Way Ste 500, Coeur D Alene, ID 83814-2391 Ph: (208) 667-8474	Darwin Ray Kellicut, MSW 1420 Lincoln Way Ste 500, Coeur D Alene, ID 83814-2391 Ph: (208) 667-8474

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Darwin Ray Kellicut, MSW - in Coeur D Alene, ID