Individual provider · Type 1 NPI

Tanita Martin-Thames, LCSW

Clinical Social Worker · Jackson, MS

NPI number 1336565035 Active

Practice location

2637 Ridgewood Rd Ste G
Jackson, MS 39216-4971

Mailing address

PO Box 2358
Clinton, MS 39060-2358

Other practice locations

  • 1015 Amherst St, Clinton, MS 39056 · (601) 473-6311

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC7489 (MS)

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 1336565035

Tanita Martin-Thames, LCSW's National Provider Identifier is 1336565035, issued on Mar 5, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MS. The record was last updated on Dec 5, 2018.