Individual provider · Type 1 NPI

Dennis Harley Thacker, LCSW

Clinical Social Worker · Mountain Home, TN

NPI number 1922021880 Active

Practice location

Corner Of Sidney And Lamont St, James H. Quillen Vamc
Mountain Home, TN 37684

Call (423) 979-2872 Map

Fax (423) 979-2812

Mailing address

209 Ginger Ct
Johnson City, TN 37601-6005

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	C004994 (NC)

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…

3 other providers at this address

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About NPI 1922021880

Dennis Harley Thacker, LCSW's National Provider Identifier is 1922021880, issued on Jul 25, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mountain Home, TN. The record was last updated on Jul 8, 2007.