Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob W. Wilson, LCSW

Individual provider Clinical Social Worker · NPI 1114286648

Jacob W. Wilson, LCSW is a Clinical Social Worker in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

824 S Diamond St
Nampa, ID 83686-5960
Phone: (208) 812-4999
Fax: (208) 634-4055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW30132 (ID)

Record details

NPI number1114286648
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 3, 2012
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing addressPo Box 2553, McCall, ID 83638-2553

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