Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629841952 Individual Practitioner Male Practitioner

Jonathan Thacker

Social Worker - Clinical • Preston, ID

Professional Overview & Biography Verified Profile Summary

Jonathan Thacker is a registered healthcare professional specializing in Social Worker - Clinical in Preston, ID. Practice services are available at 75 S 1ST W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

75 S 1st W

Preston, ID 832631204

Telephone 2088522370
Associated Practice Facility / Clinic
🏢 Priestley Mental Health Inc Facility NPI 1073660320

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Preston, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Preston, ID (1803 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-30
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License ID LMSW-44232

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Olivia Wood

Social Worker - Clinical

NPI 1023783453
David Priestley , LCSW

Social Worker - Clinical

NPI 1265865554

Licensed Clinical Social Worker

Annie Ward

Social Worker - Clinical

NPI 1346089646
Zachary Moulton

Social Worker

NPI 1487517090
Alyssa Dyer , LMSW

Social Worker - Clinical

NPI 1598494148

Licensed Master Social Worker

Cami Fellows

Counselor - Mental Health

NPI 1649678368

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 30, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2023

Registered at 75 S 1ST W, PRESTON, ID 832631204 (Tel: 2088522370)

📍
Updated Business Mailing Address October 30, 2023

Registered at 1327 N 25 E, LAYTON, UT 840412977 (Tel: 4355126453)

👤
Provider Name / Credentials Updated October 30, 2023

Recorded as JONATHAN THACKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2023

Social Worker (License #LMSW-44232 in ID)

🟢
Initial NPI Registration & Enumeration October 30, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629841952
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2023
Last Update: October 30, 2023
Sole Proprietor: Yes

Mailing Address

1327 N 25 E

Layton, UT 840412977

Phone: 4355126453

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.