Active NPI
Kenneth Richard Thau, M.S.W., J.D.
- Clinical Social Worker
- Bristow, VA
National Provider Identifier
1013980523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904003262
- Practice address
- 7969 Sequoia Park Way
Bristow, VA 20136-1286 - Phone
- (202) 320-5322
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904003262 | VA | Primary |
Addresses
Primary practice location
7969 Sequoia Park Way
Bristow, VA 20136-1286
Mailing address
PO Box 807
Bristow, VA 20136-0807
Phone (202) 320-5322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904003262 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth R Thau | Clinical | Current | Accepting new patients |
| Greater Baltimore Counseling Center, LLC | Clinical | Past | Accepting new patients |
| Oasis the Mental Health Center, LLC | Past | Accepting new patients | |
| Prince William Family Counseling, P.C. | Past | Accepting new patients | |
| Insight Psychological Services, PLLC | Past | Accepting new patients |
Locations
4405 East West Hwy
Ste 407
Bethesda, MD 20814
Phone (202) 320-5322
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Stafford, VA
- NPI 1528451218
-
- Mental Health Counselor
- Manassas, VA
- NPI 1205868791
-
- Clinical Psychologist
- Glen Burnie, MD
- NPI 1376616938
-
dba Oasis Behavioral Health Urgent Care
- Psychiatry Physician
- Glen Burnie, MD
- NPI 1174606057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1013980523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 807",
"city": "BRISTOW",
"state": "VA",
"postal_code": "201360807",
"telephone_number": "202-320-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7969 SEQUOIA PARK WAY",
"city": "BRISTOW",
"state": "VA",
"postal_code": "201361286",
"telephone_number": "202-320-5322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAU",
"first_name": "KENNETH",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "M.S.W., J.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904003262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristow, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.