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

Mr. Jefferson H Kraczek, LCSW

Individual provider Clinical Social Worker · NPI 1093087033

Mr. Jefferson H Kraczek, LCSW is a Clinical Social Worker in Mackay, Idaho. Qualified in 1995, 31 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
31
Licensed in
ID
In the registry since
2012
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

4433 Beverland Rd
Mackay, ID 83251-8048
Phone: (208) 588-2770
Fax: (208) 588-2984
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCSW27821 (ID)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1093087033
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 7, 2012
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount