JACOB W. WILSON (LCSW) – Clinical Social Worker, NPI 1114286648

Clinical Social Worker

JACOB W. WILSON (LCSW) is a healthcare provider. based in Mccall, Idaho. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. LCSW30132 (ID). The NPI Number for JACOB W. WILSON (LCSW) is 1114286648

Main info

Male

20 Years Of Experience

Accepts Medicare Assignment

Name

JACOB W. WILSON (LCSW)

NPI

1114286648

Phone

(208) 630-4040

Address

301 DEINHARD LN

Enumeration Date

3 May 2012

Last Update Date

12 July 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2086302450

Graduation Year

2006 (20 years ago)

PAC ID

2264749589

Group Practice PAC ID

7618127994

Professional Enrollment ID

I20150919000109

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for JACOB W. WILSON (LCSW)

301 DEINHARD LN
MCCALL, ID 836384703
Phone: (208) 630-4040
Fax: (208) 634-4055
Type: Location
PO BOX 2553
MCCALL, ID 836382553
Phone: (208) 630-4040
Fax: (208) 634-4055
Type: Mailing
824 S DIAMOND ST
NAMPA, ID 836865960
Phone: (208) 812-4999
Fax: (208) 634-4055
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83638)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7618127994View full group profile

Name	Specialty	State
PENNY L ATCHLEY (PA-C)	Physician Assistant	VA
RAMONA ALISON SALYER (LCSW)	Clinical Social Worker	ID
DR. LORI BETH BENNETT (M.D./PH.D.)	P S Y C H I A T R Y	ID
MARCIA L. WITTE (MD)	-	ID
MALLORIE LEIGH GETTO (LCSW)	Clinical Social Worker	ID
MS. HEATHER N. BEAMAN (PA-C)	Physician Assistant	CA
DR. NORMAN PAUL LITCHFIELD (MD)	P S Y C H I A T R Y	ID
SEANNE JO SAFAII	-	ID
DR. DAVID G. BURICA (MD)	-	ID
NICOLE DENISE ROTA (PA-C)	-	ID