HUGHSTON ROSS THACKHAM
NPI 1215897657
Social Worker in Grand Rapids, MI

Q: What is Hughston Thackham's NPI number?

The NPI number for Hughston Thackham is 1215897657. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Q: What is Hughston Thackham's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Hughston Thackham was last updated on November 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 17, 2025

790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 336-3909(616) 336-8830 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Hughston Ross Thackham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUGHSTON ROSS THACKHAM (NPI 1215897657) is an individual social worker in Grand Rapids, Michigan and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1215897657

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameHUGHSTON ROSS THACKHAM

Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918

Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 336-3909 · Fax (616) 336-8830

Phone(616) 336-3909

Fax(616) 336-8830

Sole ProprietorYes

Enumeration DateNovember 17, 2025

NPPES CertifiedNovember 17, 2025

✔ NPI 1215897657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

790 FULLER AVE NE, Grand Rapids, MI 49503

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA DUARTE-MENENDEZ LMSW

Social Worker (Clinical)