Thayne Andersen, LCSW

NPI 1194909952 · on the registry since 2007 · sole proprietor

Practice

Address: 717 Mission Road
Fort Hall, ID 83203
Phone: (208) 237-5631
Fax: (208) 237-5796
Organisation at this address: Shoshone Bannock Tribes
Shoshone Bannock Tribes, Inc
Not-Tsoo Gah-Nee Indian Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

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: 2007-12-28

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