ANTOINETTE M THACKER LISW-S
NPI 1750722286
Social Worker in Hamilton, OH

Q: What is Antoinette Thacker's NPI number?

The NPI number for Antoinette Thacker is 1750722286. It was assigned to this individual provider in the NPPES registry on July 12, 2013.

Q: What is Antoinette Thacker's specialty?

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

Active since July 12, 2013PECOS Enrolled

1910 FAIRGROVE AVE STE E, HAMILTON, OH 45011(513) 795-7557(513) 737-4603 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Antoinette M Thacker Lisw-s NPPES

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

ANTOINETTE M THACKER LISW-S (NPI 1750722286) is an individual social worker in Hamilton, Ohio, licensed in Ohio (I.1000009-SUPV) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1750722286

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameANTOINETTE M THACKERCredential: LISW-S

Location Address1910 FAIRGROVE AVE STE EHamilton, OH 45011-1930

Mailing Address8778 Cottonwood DrCincinnati, OH 45231-4706 · (513) 305-2218 · Fax (513) 737-4603

Phone(513) 795-7557

Fax(513) 737-4603

Sole ProprietorYes

Enumeration DateJuly 12, 2013

Last NPPES UpdateNovember 1, 2022

NPPES CertifiedNovember 1, 2022

✔ NPI 1750722286 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 OH · I.1000009-SUPV

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 I.1000009-SUPV (OH)

1910 FAIRGROVE AVE STE E, Hamilton, OH 45011

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Secondary Practice Location 1

Location 18778 Cottonwood DrCincinnati, OH 45231-4706 · Phone (513) 305-2218 · Fax (513) 737-4603

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antoinette M Thacker Lisw-s 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

40 services40 patients

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.

GRIFFIN BARLAG

Counselor (Addiction (Substance Use Disorder))