1. Home
  2. Directory
  3. Ohio
  4. Beavercreek
  5. Social Worker
  6. NPI Profile

WANDA SOCORRO ORTIZ THAYNE LCSW
NPI 1417415464
Social Worker - Clinical in Beavercreek, OH

Active since March 08, 2019
4199 SPRUCE WOOD DR, BEAVERCREEK, OH 45432(808) 295-7362 Get Directions Write a Review

NPPES record last updated: March 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wanda Socorro Ortiz Thayne Lcsw NPPES

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

WANDA SOCORRO ORTIZ THAYNE LCSW (NPI 1417415464) is an individual clinical provider in Beavercreek, Ohio, licensed in Utah (98196273501) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1417415464
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameWANDA SOCORRO ORTIZ THAYNECredential: LCSW
Location Address4199 SPRUCE WOOD DRBeavercreek, OH 45432-4124
Mailing Address4199 Spruce Wood DrBeavercreek, OH 45432-4124 · (808) 295-7362
Phone(808) 295-7362
Sole ProprietorNo
Enumeration DateMarch 8, 2019
✔ NPI 1417415464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in UT · 98196273501✔ Licensed in CA · LCSW13132✔ Licensed in SC · 6307✔ Licensed in NM · C2154
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.
4199 SPRUCE WOOD DR, Beavercreek, OH 45432
Open in Google Maps ↗

Other Names 1

Former Name (1)Wanda S Ortiz Caminite

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 Wanda Ortiz Thayne's NPI number?

The NPI number for Wanda Ortiz Thayne is 1417415464. It was assigned to this individual provider in the NPPES registry on March 8, 2019. The provider is also known as Wanda S Ortiz Caminite.

Where is Wanda Ortiz Thayne located?

Wanda Ortiz Thayne practices at 4199 Spruce Wood Dr, Beavercreek, OH 45432. The listed phone number is (808) 295-7362.

What is Wanda Ortiz Thayne'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 Wanda Ortiz Thayne was last updated on March 8, 2019. 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.