NPIMap

Organization Active NPI

Jody Tabner Thayer LLC

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1871064535
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JODY TABNER THAYER LLC
Practice address
4401 E West Hwy Ste 301
Bethesda, MD 20814-4523
Phone
(301) 793-9600
NPI assigned
Dec 6, 2018
Last updated
Dec 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Authorized official

Name
Jody Tabner Thayer, LCSW-CNPI 1174872964
Title
Owner
Phone
(301) 793-9600

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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4401 E West Hwy Ste 301
Bethesda, MD 20814-4523

Mailing address

4401 E West Hwy Ste 301
Bethesda, MD 20814-4523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190423001561 DC Part B Supplier - Clinic/Group Practice 8022350032 Receives reassigned benefits from 1 practitioner
Practice locations: Bethesda, MD

National Provider Directory

National Provider Directory

Locations

4401 East West Hwy
Ste 301
Bethesda, MD 20814
Phone (301) 656-3410

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1871064535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 E WEST HWY STE 301",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 E WEST HWY STE 301",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144523",
            "telephone_number": "301-793-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODY TABNER THAYER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "TABNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-793-9600",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.