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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WANDA SOCORRO ORTIZ THAYNE, LCSW

Active

WANDA SOCORRO ORTIZ THAYNE, LCSW is a Clinical Social Worker healthcare provider located in BEAVERCREEK, Ohio. NPI 1417415464 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BEAVERCREEK, OH

Registration Details

NPI Number
1417415464
Provider Type
Individual
Gender
Female
NPI Issued
Mar 8, 2019 (7.4220587106945 yrs)
Last Updated
Mar 8, 2019
Licenses
6307 (SC)
LCSW13132 (CA)
98196273501 (UT)
C2154 (NM)

Practice Information

Address
4199 SPRUCE WOOD DR
BEAVERCREEK, OH, 454324124
Browse OH providers · Browse ZIP 45432
Phone
8082957362
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in BEAVERCREEK, OH

Name Credential NPI
JENNIFER L MANN LCSW 1164411245
KARIE L. MANN LISW 1164741773
CLARISSA WENTWORTH 1326352667
JENNA BULLOCK SALIBA MSW, LISW-S 1275872962
JASON T BAILEY LISW 1720444730
DANIELLE DEIKE MSW, LISW 1962948919
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.