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Search › Idaho › Clinical Social Worker

Jacob Wilson, LCSW

NPI 1114286648 · on the registry since 2012

Practice

Address
824 S Diamond St
Nampa, ID 83686
Phone
(208) 812-4999
Fax
(208) 634-4055
Organisation at this address
Cornerstone Whole Healthcare Organization, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho