Jessie A. Bacon, LCSW

  • Fort Hall, ID
  • Clinical social worker
NPI1750507604
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2007
Practice locations
2
Practice address
717 Mission Rd, Fort Hall, ID 83203-0306
Practice phone
Call (208) 478-3995
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Shoshone Bannock Clinic

Behavioral health practice · Fort Hall, Idaho

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Jessie A. Bacon is a clinical social worker in Fort Hall, Idaho

Jessie Bacon practices at Shoshone Bannock Clinic in Fort Hall, Idaho.

Jessie Bacon's NPI, 1750507604, was assigned on April 18, 2007. Jessie Bacon holds Idaho license LCSW-32218.

NPI and contact details
NPI enumeration date
April 18, 2007
NPI status
Active
Practice phone
(208) 478-3995
Professional email
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Personal email
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Mobile number
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Sex
Female

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Jessie A. Bacon practices at 2 locations in Fort Hall, Idaho

Jessie Bacon's primary practice is Shoshone Bannock Clinic, at 717 Mission Rd, Fort Hall, ID 83203-0306. The practice phone is (208) 478-3995. The NPI Registry lists Jessie Bacon's practice address as Mission Road Blding 248, Fort Hall, ID 83203.

  • Shoshone Bannock ClinicPrimary
    717 Mission Rd, Fort Hall, ID 83203-0306Phone(208) 478-3995
  • NPI Registry address
    Mission Road Blding 248, Fort Hall, ID 83203Phone(208) 237-5631

Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data

Jessie A. Bacon is affiliated with 1 site of care and 1 medical group

Jessie Bacon's primary practice is Shoshone Bannock Clinic in Fort Hall, Idaho. The medical group on file is Shoshone-Bannock Community Health Center.

Shoshone Bannock ClinicBehavioral health practice · Fort Hall, IdahoPrimary
Shoshone-Bannock Community Health CenterBehavioral and mental health group, Fort Hall, ID

Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dmand AI tracks the EHR system at Jessie A. Bacon's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Jessie Bacon practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Shoshone Bannock ClinicAvailable with a free account

Source: Dmand AI Technology Install Data

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Jessie A. Bacon is one of 716 clinical social workers in Idaho

Social worker is Jessie Bacon's primary specialty in the NPI Registry, under taxonomy code 1041C0700X. The record also lists clinical. Jessie Bacon is licensed in Idaho.

Specialties and state licenses

  • Clinical social worker, IdahoPrimaryLicense LCSW-32218 · taxonomy 1041C0700X

Clinical social workers near Jessie Bacon

Counts of clinical social workers with a Dmand AI profile, by place and practice. Each opens the list.

716clinical social workers in Idaho
3clinical social workers in Fort Hall

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Sources for Jessie A. Bacon's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Jessie A. Bacon

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Jessie A. Bacon's NPI number?

Jessie A. Bacon's NPI number is 1750507604. It was assigned on April 18, 2007, and it is active in the NPI Registry.

What does Jessie A. Bacon specialize in?

Jessie A. Bacon is a clinical social worker in Fort Hall, Idaho. The primary specialty in the NPI Registry is Clinical Social Worker (taxonomy code 1041C0700X).

Where does Jessie A. Bacon practice?

Jessie Bacon practices at 717 Mission Rd, Fort Hall, ID 83203-0306. Jessie Bacon also practices at Mission Road Blding 248, Fort Hall, ID 83203. Jessie Bacon's primary practice is Shoshone Bannock Clinic in Fort Hall, Idaho.

What is Jessie A. Bacon's office phone number?

The practice phone on file for Jessie Bacon is (208) 478-3995.

What is Jessie A. Bacon's medical license number?

Jessie Bacon holds Idaho license LCSW-32218.

What medical group is Jessie A. Bacon part of?

Jessie Bacon is linked to Shoshone-Bannock Community Health Center.

How long has Jessie A. Bacon been practicing?

Jessie Bacon's NPI was assigned in 2007.

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