Active NPI
Kenneth R Thau
- Clinical Social Worker
- Bethesda, MD
National Provider Identifier
1508483439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- KENNETH R THAU
- Practice address
- 4405 E West Hwy Ste 407
Bethesda, MD 20814-4535 - Phone
- (202) 320-5322
- NPI assigned
- Jun 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth Richard Thau, LCSW
- Title
- Psychotherapist
- Phone
- (202) 320-5322
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4405 E West Hwy Ste 407
Bethesda, MD 20814-4535
Mailing address
PO Box 10
Kensington, MD 20895-0010
Phone (202) 320-5322
Other practice location 1
10613 Montrose Ave Apt 4
Bethesda, MD 20814-4219
Phone (202) 320-5322
Other names 1
- THORSTHERAPY, LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bristow, VA
- NPI 1013980523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593648000000",
"number": "1508483439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208950010",
"telephone_number": "202-320-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 E WEST HWY STE 407",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144535",
"telephone_number": "202-320-5322"
}
],
"practiceLocations": [
{
"address_1": "10613 Montrose Ave Apt 4",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208144219",
"country_code": "US",
"telephone_number": "202-320-5322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KENNETH R THAU",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-26",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A",
"authorized_official_last_name": "THAU",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "202-320-5322",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THORSTHERAPY, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.