NPI age
19 years
Enumerated 2007-04-18
● Active
Type 1 · Individual
Jessie A Bacon, LCSW
Bacon is 1 of 7 social worker providers in Fort Hall and 1 of 2000 in Idaho.
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-03-18
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
19 years
↑ 9 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
2007-04Enumerated in NPPES
2007
2026
Where they practice
Practice location
Mission Road Blding 248, Fort Hall Indian Agency
Fort Hall, ID 83203
Mailing address
1068 E Reservation Rich Ln
Blackfoot, ID 832217052
Specialties
-
Social Worker PrimaryA 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...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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