Individual provider · Type 1 NPI
Jefferson H. Kraczek, LCSW
Clinical Social Worker · Mackay, ID
Practice location
4433 Beverland Road
Mackay, ID 83251-8048
Fax (208) 588-2984
Mailing address
PO Box 402
Mackay, ID 83251-0402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCSW-27821 (ID) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
2 other providers at this address
About NPI 1093087033
Jefferson H. Kraczek, LCSW's National Provider Identifier is 1093087033, issued on Feb 7, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mackay, ID. The record was last updated on Aug 11, 2026.