P Praxis·MD
● Active Type 1 · Individual

Jackie L Newsom, LSW

Social Worker·Pocatello, ID· NPI 1124464318 · Enumerated 2013 · 13 years on NPI
Newsom is 1 of 67 social worker providers in Pocatello and 1 of 1613 in Idaho.
NPI age
13 years
Enumerated 2013-05-15
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-05-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1613 active social worker providers in Idaho.

NPI age
13 years
↑ 8 yr above median (5 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Practice location
353 N 4th Ave, Ste 110
Pocatello, ID 832016390
📞 2082337832
Mailing address
Po Box 4908
Pocatello, ID 832054908
📞 2082361600

Specialties

  • Social Worker Primary
    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
    ID license #LSW-32514 taxonomy 104100000X

Practice context

Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.

Recently enumerated nearby: 7 new social worker providers have been added in Pocatello in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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