Individual provider · Type 1 NPI

Thayne Andersen, LCSW

Clinical Social Worker · Fort Hall, ID

NPI number 1194909952 Active

Practice location

717 Mission Road
Fort Hall, ID 83203-0306

Call (208) 237-5631 Map

Fax (208) 237-5796

Mailing address

PO Box 306
Fort Hall, ID 83203-0306

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-27518 (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…

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About NPI 1194909952

Thayne Andersen, LCSW's National Provider Identifier is 1194909952, issued on Dec 28, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Hall, ID. The record was last updated on Dec 28, 2007.