Anya Thetford, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L10720 Issued in OR

Practice address

15656 SW Bristlecone Way
Tigard, OR 97223-2689

Phone

(724) 494-4564

NPI assigned

Sep 23, 2021

Last updated

Sep 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1356012025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15656 SW BRISTLECONE WAY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15656 SW BRISTLECONE WAY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232689",
            "telephone_number": "724-494-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THETFORD",
        "first_name": "ANYA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Psychotherapy Associates of Oregon
• The Way of Health
• Therapeutic Associates Inc (TAI - Physical Therapy Tigard)
• Therapeutic Integrative Massage & Exercise, LLC
• Theresa a McAdoo, OD, PC
• Shawna Thieme, BS
• Christopher Lee Thoen, PMHNP
• Thomas Freedland, DC
• Carrie Ann Thomas
• Janessa Javel Thomas

• Clinical Social Worker in Tigard, OR
• Providers in Tigard, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.