JODY TABNER THAYER (NPI# 1174872964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174872964 |
| Entity Type | Individual |
| Full Name | JODY TABNER THAYER |
| Credential | LCSW-C |
| Practice Address |
15701 Crabbs Branch Way Rockville MD 20855-2634 |
| Practice Telephone | 3012518965 |
| Mailing Telephone | 3012518965 |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2017-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
14974 | MD | Behavioral Health & Social Service Providers |
| Street Address |
15701 CRABBS BRANCH WAY |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20855-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386620581 | Willow Oak Therapy Center, Inc. | Clinic/Center | 15701 Crabbs Branch Way, Rockville, MD 20855-2634 | 2005-12-20 |
| 1992343131 | Katharine Ellis | Social Worker | 15701 Crabbs Branch Way, Rockville, MD 20855-2634 | 2019-12-18 |
| 1598312993 | Hongkyung Julie Youck | Counselor | 15701 Crabbs Branch Way, Rockville, MD 20855-2634 | 2019-08-20 |
| 1053798470 | Mamata Hotha | Social Worker | 15701 Crabbs Branch Way, Rockville, MD 20855-2634 | 2015-05-05 |
| 1437571874 | Catherine Tardif-douglin | Social Worker | 15701 Crabbs Branch Way, Rockville, MD 20855-2634 | 2014-01-18 |
| 1477847002 | Janet Akman | Social Worker | 15701 Crabbs Branch Way, Rockville, MD 20855-2634 | 2011-05-31 |
| 1669705109 | Anne-marie Corrado | Social Worker | 15701 Crabbs Branch Way, Rockville, MD 20855-2634 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801388525 | Michael Robinson | Behavior Technician | 7613 Standish Place, Rockville, MD 20855 | 2018-05-30 |
| 1144722885 | Samantha Green | Occupational Therapist | 15850 Crabbs Branch Way # 150, Rockville, MD 20855 | 2018-03-07 |
| 1144690157 | Katrina Williams | Psychologist | 15744 Crabbs Branch Way Ste 100, Derwood, MD 20855 | 2015-10-02 |
| 1720321888 | Melanie Milczarski Smith | Specialist | 17620-a Redland Road, Rockville, MD 20855 | 2013-03-27 |
| 1104155167 | Nicole Renee Christenson | Nurse Practitioner | 6001 Muncaster Mill Rd., Rockville, MO 20855 | 2009-12-21 |
| 1104093244 | Diane Klucinikas Boyd | Audiologist | 18520 Azalea Drive, Derwood, MD 20855 | 2008-05-08 |
| 1437320413 | Shana Rene Mizzer | Social Worker | 8915 Shady Grove Court, Derwood, MD 20855 | 2008-03-18 |
| 1083786032 | Mary Foster Herbers | Social Worker | 15521 Villisca Terrace, Rockville, MD 20855 | 2006-11-14 |
| 1063583698 | Samuel Blum | Dentist | 15720 Crabbs Branch Way, No 1 C, Rockville, MD 20855 | 2006-11-13 |
| 1538639182 | Jamie Jackson | Behavior Technician | 7529 Standish Pl, Rockville, MD 20855 | 2018-11-27 |
| Find all providers in zip 20855 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567967 | Kathryn Davenport | Social Worker | 14821 Lake Ter, Rockville, MD 20853-3632 | 2020-08-08 |
| 1063064095 | Kenyetta Marie Joseph | Social Worker | 14915 Broschart Rd Ste 2300, Rockville, MD 20850-3350 | 2019-07-10 |
| 1083274104 | Eva P Crawford | Social Worker | 607 N Stonestreet Ave, Rockville, MD 20850-1234 | 2019-06-20 |
| 1609359389 | D.a. Wynne & Associates,inc. | Social Worker | 11900 Parklawn Dr Ste 120, Rockville, MD 20852-2668 | 2018-09-10 |
| 1669951349 | Tara Huber | Social Worker | 50 Maryland Ave, Rockville, MD 20850-2320 | 2018-08-13 |
| 1689153389 | Diana Silvia Martins | Social Worker | 50 Maryland Avenue, Rockville, MD 20850 | 2018-08-13 |
| 1013403492 | Beth Tabachnick | Social Worker | 313 Fallsgrove Dr, Rockville, MD 20850-4731 | 2018-07-09 |
| 1639662240 | Joan Wessel | Social Worker | 110 N Washington St Ste 501c, Rockville, MD 20850-2223 | 2018-06-08 |
| 1780107227 | Growing Minds | Social Worker | 3204 Tower Oaks Blvd Ste 180, Rockville, MD 20852-4206 | 2017-07-17 |
| 1083152193 | Ka Y Wong | Social Worker | 191 E Jefferson St # 620, Rockville, MD 20850-2630 | 2017-02-09 |
| Find all providers in ROCKVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.