Individual provider Active NPI

Molly A McNevin

  • Clinical Social Worker
  • Salmon, ID
National Provider Identifier
1114448511
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-39774 Issued in ID
Practice address
1301 Main St Ste 3B
Salmon, ID 83467-4452
Phone
(208) 756-2927
NPI assigned
Jul 6, 2017
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-39774 ID Primary
Clinical Social Worker 1041C0700X 0904019596 VA

Addresses

Primary practice location

1301 Main St Ste 3B
Salmon, ID 83467-4452

Mailing address

1380 Benton St
Idaho Falls, ID 83401-4254
Phone (208) 523-2490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824000334 ID Practitioner - Clinical Social Worker 7012333461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lemhi Valley Social Services, Inc.Group PAC ID 1355582370, 7 clinicians

Practice addresses (Care Compare)

1301 Main St
Suite 3B
Salmon, ID 83467-4452
Phone (208) 756-2927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904019596VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lemhi Valley Social Services, Inc. Social Worker CurrentSince Jun 19, 2020 Accepting new patients
Lemhi Valley Social Services, Inc. PastSince Jun 19, 2020 Accepting new patients

Locations

1380 Benton St
Idaho Falls, ID 83401
Phone (208) 403-3472

1301 Main St
Ste 3B
Salmon, ID 83467
Phone (208) 756-2927

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1114448511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 BENTON ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014254",
            "telephone_number": "208-523-2490",
            "fax_number": "208-522-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST STE 3B",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674452",
            "telephone_number": "208-756-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEVIN",
        "first_name": "MOLLY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-39774",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salmon, ID

Sources for this page

Verify at the official NPI Registry.