JACOB W. WILSON LCSW
NPI 1114286648
Social Worker - Clinical in Nampa, ID

Active since May 03, 2012
76.65/100
CMS Quality Rating
824 S DIAMOND ST, NAMPA, ID 83686(208) 812-4999(208) 634-4055 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, Jan 18, 2016 (2 updates tracked since 2016).

About Jacob W. Wilson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB W. WILSON LCSW (NPI 1114286648) is an individual clinical provider in Nampa, Idaho, licensed in Idaho (LCSW30132) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1114286648
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACOB W. WILSONCredential: LCSW
Location Address824 S DIAMOND STNampa, ID 83686-5960
Mailing AddressPo Box 2553Mccall, ID 83638-2553 · (208) 630-4040 · Fax (208) 634-4055
Fax(208) 634-4055
Sole ProprietorNo
Enumeration DateMay 3, 2012
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
NPI 1114286648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ID · LCSW30132
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
824 S DIAMOND ST, Nampa, ID 83686

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.02
Promoting Interoperability100
Improvement Activities40
Cost45.14

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
824 S DIAMOND ST
NAMPA, ID 83686
Nurse Practitioner (Family)
824 S DIAMOND ST
NAMPA, ID 83686
Physician Assistant (Medical)
824 S DIAMOND ST
NAMPA, ID 83686
Clinic/Center (Multi-Specialty)
824 S DIAMOND ST
NAMPA, ID 83686
Health and Wellness Coach
824 S DIAMOND ST
NAMPA, ID 83686
Counselor (Mental Health)
824 S DIAMOND ST
NAMPA, ID 83686
Social Worker (Clinical)
824 S DIAMOND ST
NAMPA, ID 83686
Social Worker (Clinical)
824 S DIAMOND ST
NAMPA, ID 83686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Wilson's NPI number?

The NPI number for Jacob Wilson is 1114286648. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Jacob Wilson located?

Jacob Wilson practices at 824 S Diamond St, Nampa, ID 83686. The listed phone number is (208) 812-4999.

What is Jacob Wilson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jacob Wilson was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.