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Kristine Marie Thackrey, LISW,LICDC
Clinical Social Worker in Lima, Ohio
NPI 1497819916

Kristine Marie Thackrey is a Clinical Social Worker based in Lima, OH and is specialized in Clinical. Kristine Marie Thackrey practices in Lima, OH and has the professional credentials of LISW,LICDC. The NPI Number for Kristine Marie Thackrey is 1497819916 and holds a License No. 933608 (Ohio).

The current practice location address for Kristine Marie Thackrey is 3611 S Dixie Hwy, Lima, OH and can be reached out via phone at 419-999-2024 and via fax at 419-999-2024.

Location: 3611 S Dixie Hwy, Lima, OH, 45804-3750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497819916
Provider Name
Kristine Marie Thackrey
Credential
LISW,LICDC
Provider Entity Type
Individual
Gender
Female
Address
3611 S Dixie Hwy, Lima, OH, 45804-3750
Phone Number
419-999-2024
Fax Number
419-999-2024
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000352379 01 OH ANTHEM BLUE CROSS AND BLU
institution
Provider Business Practice Location Address Details
Address
3611 S Dixie Hwy
City
Lima
State
Ohio
Zip
45804-3750
Phone Number
419-999-2024
Fax Number
419-999-2024
person
Provider Business Mailing Address Details
Address
3611 S Dixie Hwy
City
Lima
State
Ohio
Zip
45804-3750
Phone Number
419-999-2024
Fax Number
419-999-2024
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
I5522 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
933608 (Ohio)
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.
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