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TANITA MARTIN-THAMES LCSW
NPI 1336565035
Social Worker - Clinical in Jackson, MS

Active since March 05, 2014
2637 RIDGEWOOD RD STE G, JACKSON, MS 39216(913) 915-6236 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2018, May 16, 2018 (2 updates tracked since 2018).

About Tanita Martin-thames Lcsw NPPES

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

TANITA MARTIN-THAMES LCSW (NPI 1336565035) is an individual clinical provider in Jackson, Mississippi, licensed in Mississippi (C7489) and active in the NPI registry since March 2014. She maintains a secondary practice location in Clinton.

NPPES Registry Identity

NPI1336565035
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTANITA MARTIN-THAMESCredential: LCSW
Location Address2637 RIDGEWOOD RD STE GJackson, MS 39216-4971
Mailing AddressPo Box 2358Clinton, MS 39060-2358 · (913) 915-6236
Phone(913) 915-6236
Sole ProprietorYes
Enumeration DateMarch 5, 2014
Last NPPES UpdateDecember 5, 20182 updates tracked since enumeration
✔ NPI 1336565035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MS · C7489
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.
2637 RIDGEWOOD RD STE G, Jackson, MS 39216
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Secondary Practice Location 1

Location 11015 Amherst StClinton, MS 39056 · Phone (601) 473-6311

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 Tanita Martin-thames's NPI number?

The NPI number for Tanita Martin-thames is 1336565035. It was assigned to this individual provider in the NPPES registry on March 5, 2014.

Where is Tanita Martin-thames located?

Tanita Martin-thames practices at 2637 Ridgewood Rd Ste G, Jackson, MS 39216. The listed phone number is (913) 915-6236.

What is Tanita Martin-thames'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 Tanita Martin-thames was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.