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

Mr. Thayne Andersen, LCSW

Individual provider Clinical Social Worker · NPI 1194909952

Mr. Thayne Andersen, LCSW is a Clinical Social Worker in Fort Hall, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
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

717 Mission Rd
Fort Hall, ID 83203-0306
Phone: (208) 237-5631
Fax: (208) 237-5796
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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 LCSW-27518 (ID)

Record details

NPI number1194909952
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 28, 2007
Last updated in NPPESDecember 28, 2007
Mailing addressPo Box 306, Fort Hall, ID 83203-0306

Other providers in Fort Hall