Individual provider · Type 1 NPI
Wanda Socorro Ortiz Thayne, LCSW
Clinical Social Worker · Beavercreek, OH
Practice location
4199 Spruce Wood Dr
Beavercreek, OH 45432-4124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 6307 (SC) |
| Clinical Social Worker | 1041C0700X | LCSW13132 (CA) |
| Clinical Social Worker Primary | 1041C0700X | 98196273501 (UT) |
| Clinical Social Worker | 1041C0700X | C2154 (NM) |
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 1417415464
Wanda Socorro Ortiz Thayne, LCSW's National Provider Identifier is 1417415464, issued on Mar 8, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Beavercreek, OH. The record was last updated on Mar 8, 2019.