Thayer, Jeremy
Thayer, Jeremy is an sole proprietor health care provider with primary practice located at 426 Scrabbletown Rd , North Kingstown RI 02852-2001. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Thayer, Jeremy can be contacted via phone (401) 829-3355.Contact Information
Primary practice address
426 Scrabbletown Rd
North Kingstown RI 02852-2001
Phone: (401) 829-3355
Fax: (401) 667-2733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW01934 | Rhode Island |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | CSW00983 | Rhode Island |
Profile Details
| NPI number | 1518094846 |
|---|---|
| LBN Legal business name | Thayer, Jeremy |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jun 13th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518094846 | NPPES |
| Rhode Island | MEDICAID | JT59949 |
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