P Praxis·MD
● Active Type 1 · Individual

MS. Elizabeth A Jackson, LCSW

Social Worker·Boise, ID· NPI 1649694233 · Enumerated 2014 · 12 years on NPI
Jackson is 1 of 576 social worker providers in Boise and 1 of 2000 in Idaho.
NPI age
12 years
Enumerated 2014-02-18
Primary specialty
Social Worker
Plus 2 subspecialties
Licensed in
ID, WY
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-03-03
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
12 years
↑ 2 yr above median (10 yr)
State licenses
2 states
Top 91% — 9% of peers are multi-state
Subspecialties
1
In the 29% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-02Enumerated in NPPES
2014 2026

Where they practice

Practice location
1111 S Orchard St Ste 100
Boise, ID 837051961
📞 2087949588
Mailing address
1111 S Orchard St Ste 100
Boise, ID 837051961
📞 2087949588

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-33837 taxonomy 1041C0700X
  • Counselor
    Definition to come...
    WY license #PCSW-535ID license #LMSW-31478 taxonomy 101YM0800X

Identifiers

TypeValueNotes
05 (ID) 1649694233
01 (ID) 3387 LICENSE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 12 new social worker providers have been added in Boise 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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