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NPI · 1750507604 · NPPES-sourced

Jessie Bacon LCSW

ActiveClinical Social Worker
NPI Number
1750507604
Type 1 · Individual
Taxonomy Code
1041C0700X
Contact
(208) 237-5631
License ID · LCSW-32218
Last Updated
Enumerated
Primary practice addressID · 83203
Mission Road Blding 248, Fort Hall Indian AgencyFort Hall, ID 83203
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About this NPIWhat this record shows.

NPI 1750507604 is registered to Jessie Bacon LCSW, a Clinical Social Worker practising at Mission Road Blding 248, Fort Hall Indian Agency in Fort Hall, Idaho. Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jessie Bacon LCSW has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jessie Bacon LCSW accepts. To confirm in-network status with your specific health plan, contact Jessie Bacon LCSW directly at (208) 237-5631.

Frequently asked

Yes. NPI 1750507604 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (208) 237-5631.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jessie Bacon LCSW is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1041C0700X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Clinical Social Worker providers in Idaho.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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