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

Mr. Thayne Andersen, LCSW

Individual provider Clinical Social Worker · NPI 1194909952

Mr. Thayne Andersen, LCSW is a Clinical Social Worker in Fort Hall, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
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 →

Practice location Address checks out

717 Mission Rd
Fort Hall, ID 83203-0306
Phone: (208) 237-5631
Fax: (208) 237-5796
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-27518 (ID)

Record details

NPI number1194909952
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 28, 2007
Last updated in NPPESDecember 28, 2007

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