Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSIE A BACON, LCSW
Active Sole ProprietorJESSIE A BACON, LCSW is a Clinical Social Worker healthcare provider located in FORT HALL, Idaho. NPI 1750507604 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FORT HALL, ID
Registration Details
- NPI Number
- 1750507604
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2007 (19.281912229993 yrs)
- Last Updated
- Mar 18, 2024
- License
-
LCSW-32218 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
MISSION ROAD BLDING 248FORT HALL INDIAN AGENCYFORT HALL, ID, 83203Browse ID providers · Browse ZIP 83203
- Phone
- 2082375631
- Fax
- 2082375796
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in FORT HALL, ID
| Name | Credential | NPI |
|---|---|---|
| MS. KRISTY LEE BRONCHO | LCSW | 1932323045 |
| MS. SHARI L. NEWSOME | LCSW | 1730304171 |
| MR. THAYNE ANDERSEN | LCSW | 1194909952 |
| MATTHEW J WADSWORTH | LCSW | 1972759017 |
| DANIEL JEROME HALL | LCSW | 1366847428 |
| WILLOW ROSE ABRAHAMSON | LCSW | 1578255733 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.