Search › Idaho › Clinical Social Worker
Jessie Bacon, LCSW
NPI 1750507604 · on the registry since 2007 · sole proprietor
Practice
- Address
- Mission Road Blding 248
Fort Hall Indian Agency
Fort Hall, ID 83203 - Phone
- (208) 237-5631
- Fax
- (208) 237-5796
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-18
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