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MR. JEREMY THAYER LICSW
NPI 1518094846
Social Worker in North Kingstown, RI

Active since February 27, 2007PECOS Enrolled
426 SCRABBLETOWN RD, NORTH KINGSTOWN, RI 02852(401) 829-3355(401) 667-2733 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Jeremy Thayer Licsw NPPES

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

MR. JEREMY THAYER LICSW (NPI 1518094846) is an individual social worker in North Kingstown, Rhode Island, licensed in Rhode Island (CSW00983) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518094846
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. JEREMY THAYERCredential: LICSW
Location Address426 SCRABBLETOWN RDNorth Kingstown, RI 02852-2001
Mailing Address452 Gardiner RdWest Kingston, RI 02892-1068 · (401) 829-3355 · Fax (401) 667-2733
Phone(401) 829-3355
Fax(401) 667-2733
Sole ProprietorYes
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJune 13, 2022
NPPES CertifiedJune 13, 2022
✔ NPI 1518094846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in RI · CSW00983
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License ISW01934 (RI)
426 SCRABBLETOWN RD, North Kingstown, RI 02852
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Other Identifiers 1

MedicaidJT59949RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeremy Thayer Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeremy Thayer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Victa LLC
16 mi
Addiction Medicine
110 ELMWOOD AVE # A
Providence, RI 02907
  • Reassigned Medicare billing, Rhode Island enrollment
  • 8 clinicians in this Medicare group
NPI 1104317007 (401) 868-0654

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

BLOOM COUNSELING, LLC
Marriage & Family Therapist
426 SCRABBLETOWN RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 203-7407
DR. ELLIOT D. WATERMAN O.D.
Optometrist
426 SCRABBLETOWN RD, SUITE A
NORTH KINGSTOWN, RI 02852
Washington County (401) 295-7339
MISTY JACKSON
Counselor (Mental Health)
426 SCRABBLETOWN RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 477-9922
LORI A DUFFY LICSW
Social Worker (Clinical)
426 SCRABBLETOWN RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 749-4905
CLINICAL AND FORENSIC SERVICES, INC.
Psychologist (Clinical)
426 SCRABBLETOWN RD, SUITE C
NORTH KINGSTOWN, RI 02852
Washington County (508) 579-0099
WATERMAN EYE CARE, INC.
Optometrist
426 SCRABBLETOWN RD, SUITE A
NORTH KINGSTOWN, RI 02852
Washington County (401) 295-7339
SOUTH COUNTY CARDIOLOGY ASSOCIATES, INC.
Internal Medicine (Cardiovascular Disease)
426 SCRABBLETOWN RD, SUITE F
NORTH KINGSTOWN, RI 02852
Washington County (401) 294-5831

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 Jeremy Thayer's NPI number?

The NPI number for Jeremy Thayer is 1518094846. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Jeremy Thayer located?

Jeremy Thayer practices at 426 Scrabbletown Rd, North Kingstown, RI 02852. The listed phone number is (401) 829-3355.

What is Jeremy Thayer's specialty?

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

Is Jeremy Thayer enrolled in Medicare?

Yes. Jeremy Thayer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeremy Thayer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Thayer reassigns Medicare benefits to Victa LLC (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Thayer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeremy Thayer was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.