Individual provider Active NPI

Kerry Anne Draney, LCSW

  • Clinical Social Worker
  • Rexburg, ID
National Provider Identifier
1215667381
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23069 Issued in AZ
Practice address
393 E 2ND N
Rexburg, ID 83440-1605
Phone
(208) 359-4840
Fax
(208) 359-9010
NPI assigned
Jun 13, 2022
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 23069 AZ Primary
Clinical Social Worker 1041C0700X 8911276 ID

Addresses

Primary practice location

393 E 2ND N
Rexburg, ID 83440-1605

Mailing address

2119 E Chesapeake Dr
Gilbert, AZ 85234-3839
Phone (602) 315-0267

Other practice location 1

3453 Clearview Ln
Ammon, ID 83406-4702
Phone (208) 359-4840

Other practice location 2

2119 E Chesapeake Dr
Gilbert, AZ 85234-3839
Phone (208) 359-4840

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
I20250807003372 ID Practitioner - Clinical Social Worker 7416455662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerpoint Counseling Services LLCGroup PAC ID 1456754373, 12 clinicians

Practice addresses (Care Compare)

393 E 2ND
Rexburg, ID 83440-1605
Phone (208) 359-4840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23069AZMDClinical Social Worker
8911276IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centerpoint Counseling Services, LLC Social Worker CurrentSince Jul 1, 2025 Accepting new patients

Locations

3453 Clearview Ln
Ammon, ID 83406
Phone (208) 359-4840

393 E 2nd N
Rexburg, ID 83440
Phone (208) 356-5401

393 E 2nd N
Bsmt
Rexburg, ID 83440

Organizations & group practices 3

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1215667381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 E CHESAPEAKE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343839",
            "telephone_number": "602-315-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E 2ND N",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401605",
            "telephone_number": "208-359-4840",
            "fax_number": "208-359-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3453 Clearview Ln",
            "address_purpose": "LOCATION",
            "city": "Ammon",
            "state": "ID",
            "postal_code": "834064702",
            "country_code": "US",
            "telephone_number": "208-359-4840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2119 E Chesapeake Dr",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852343839",
            "country_code": "US",
            "telephone_number": "208-359-4840",
            "fax_number": "208-359-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRANEY",
        "first_name": "KERRY",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "23069",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8911276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.