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

Yvette Lisa Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1063927853

Yvette Lisa Jackson, LCSW is a Clinical Social Worker in Boise, Idaho. Qualified in 2014, 12 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
12
Licensed in
ID
In the registry since
2017
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

223 N 6th St Ste 230
Boise, ID 83702-5954
Phone: (208) 991-4696
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-37582 (ID)
Social Worker Taxonomy 104100000X · Licence LMSW-33944 (ID)

Record details

NPI number1063927853
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 3, 2017
Last updated in NPPESJuly 19, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Boise