IndividualActive
Jonathan Thacker
NPI 1629841952 · Clinical Social Worker · Preston, ID
Jonathan Thacker is a Clinical Social Worker provider in Preston, ID (NPI 1629841952).
Provider details
- NPI number
- 1629841952
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- LMSW-44232 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
75 S 1st W
Preston, ID 83263-1204
Phone: (208) 852-2370
Street-level locationGet directions
Mailing address
1327 N 25 E
Layton, UT 84041-2977
Registry dates
- Enumerated
- 2023-10-30
- Last updated
- 2023-10-30
- Certified
- 2023-10-30
Frequently asked questions
- What is Jonathan Thacker's NPI number?
- Jonathan Thacker's National Provider Identifier (NPI) is 1629841952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Thacker's specialty?
- Jonathan Thacker is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jonathan Thacker located?
- Jonathan Thacker's practice location on file with NPPES is 75 S 1st W, Preston, ID 83263-1204.
- What is Jonathan Thacker's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Thacker is (208) 852-2370.
- Is Jonathan Thacker's NPI active?
- Yes — Jonathan Thacker's NPI (1629841952) is active in the NPPES registry as of the last update on 2023-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.