Individual provider · Type 1 NPI

Jonathan Thacker

Clinical Social Worker · Preston, ID

NPI number 1629841952 Active

Practice location

75 S 1st W
Preston, ID 83263-1204

Call (208) 852-2370 Map

Mailing address

1327 N 25 E
Layton, UT 84041-2977

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLMSW-44232 (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…

11 other providers at this address

Other clinical social worker providers in Preston

See all in Preston →

About NPI 1629841952

Jonathan Thacker's National Provider Identifier is 1629841952, issued on Oct 30, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Preston, ID. The record was last updated on Oct 30, 2023.