Individual provider · Type 1 NPI
Bethany Miriya Thacker, LCSW
Clinical Social Worker · Houston, TX
Practice location
3200 Southwest Fwy
Houston, TX 77027-7528
Mailing address
220 Athens Way Ste 240
Nashville, TN 37228-1311
Other practice locations
- 3109 W Dr Martin Luther King Jr Blvd Ste 350, Tampa, FL 33607-6208 · (833) 208-7770
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 2016001149 (MO) |
| Clinical Social Worker | 1041C0700X | C011448 (NC) |
| Clinical Social Worker | 1041C0700X | SW21586 (FL) |
| Clinical Social Worker | 1041C0700X | 13716 (SC) |
| Clinical Social Worker | 1041C0700X | 100806 (IA) |
| Clinical Social Worker | 1041C0700X | 8936-C (NV) |
| Clinical Social Worker | 1041C0700X | 0904010673 (VA) |
| Clinical Social Worker Primary | 1041C0700X | 104593 (TX) |
Clinical Social Worker: 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 interpers…
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About NPI 1316483209
Bethany Miriya Thacker, LCSW's National Provider Identifier is 1316483209, issued on Jan 16, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Houston, TX. The record was last updated on Nov 15, 2024.