MEDICARE: SEED WORK COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1639868474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEED WORK COUNSELING, LLC

Provider Business Mailing Address
First Line	:	2322 POLK ST
Second Line	:
City	:	CALDWELL
State	:	ID
Zip	:	83605-2357
Country	:	US
Telephone Number	:	208-304-2906
Fax Number	:

Provider Business Practice Location Address
First Line	:	2322 POLK ST
Second Line	:
City	:	CALDWELL
State	:	ID
Zip	:	83605-2357
Country	:	US
Telephone Number	:	208-304-2906
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JESSICA CHILCOTT
Credential	:	LCSW
Telephone Number	:	208-304-2906

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	06/18/2026

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