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BETHANY MIRIYA THACKER LCSW
NPI 1316483209
Social Worker - Clinical in Houston, TX

Active since January 16, 2017
3200 SOUTHWEST FWY, HOUSTON, TX 77027(860) 933-6765 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2024, Apr 12, 2024, Apr 4, 2023 and 3 more (6 updates tracked since 2017).

About Bethany Miriya Thacker Lcsw NPPES

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

BETHANY MIRIYA THACKER LCSW (NPI 1316483209) is an individual clinical provider in Houston, Texas, licensed in Texas (104593) and active in the NPI registry since January 2017. She maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1316483209
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBETHANY MIRIYA THACKERCredential: LCSW
Location Address3200 SOUTHWEST FWYHouston, TX 77027-7528
Mailing Address220 Athens Way Ste 240Nashville, TN 37228-1311 · (833) 208-7770
Phone(860) 933-6765
Sole ProprietorNo
Enumeration DateJanuary 16, 2017
Last NPPES UpdateNovember 15, 20246 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1316483209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in TX · 104593✔ Licensed in NC · C011448✔ Licensed in FL · SW21586✔ Licensed in SC · 13716✔ Licensed in IA · 100806✔ Licensed in NV · 8936-C✔ Licensed in VA · 0904010673
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 2016001149 (MO)
3200 SOUTHWEST FWY, Houston, TX 77027
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Other Names 1

Former Name (1)Bethany Lyon

Secondary Practice Location 1

Location 13109 W Dr Martin Luther King Jr Blvd Ste 350Tampa, FL 33607-6208 · Phone (833) 208-7770

Other Providers at the Same Location NPPES

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

MR. BYRON TAYLOR BARNES LPC
Counselor (Mental Health)
3200 SOUTHWEST FWY
HOUSTON, TX 77027
Harris County (713) 402-6198

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Thacker's NPI number?

The NPI number for Bethany Thacker is 1316483209. It was assigned to this individual provider in the NPPES registry on January 16, 2017. The provider is also known as Bethany Lyon.

Where is Bethany Thacker located?

Bethany Thacker practices at 3200 Southwest Fwy, Houston, TX 77027. The listed phone number is (860) 933-6765.

What is Bethany Thacker's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Bethany Thacker was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.