P Praxis·MD
● Active Type 1 · Individual

MR. Thayne Andersen, LCSW

Social Worker·Fort Hall, ID· NPI 1194909952 · Enumerated 2007 · 18 years on NPI
Andersen is 1 of 7 social worker providers in Fort Hall and 1 of 2000 in Idaho.
NPI age
18 years
Enumerated 2007-12-28
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-12-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2000 active social worker providers in Idaho.

NPI age
18 years
↑ 8 yr above median (10 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-12Enumerated in NPPES
2007 2026

Where they practice

Practice location
717 Mission Road
Fort Hall, ID 832030306
📞 2082375631fax 2082375796
Mailing address
Po Box 306
Fort Hall, ID 832030306
📞 2082375631fax 2082375796

Specialties

  • Social Worker Primary
    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...
    ID license #LCSW-27518 taxonomy 1041C0700X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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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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