Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bethany Miriya Thacker, LCSW

Individual provider Social Worker · NPI 1316483209

Bethany Miriya Thacker, LCSW is a Social Worker in Houston, Texas. Works from 2 locations. Licensed in Florida, Iowa, Missouri and North Carolina and 4 more.

Licensed in
FL, IA, MO, NC, NV, SC
In the registry since
2017
Specialties on file
8
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3200 SW Fwy
Houston, TX 77027-7528
Phone: (860) 933-6765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3109 W Dr Martin Luther King Jr Blvd Ste 350, Tampa, FL 33607-6208 — (833) 208-7770

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 104593 (TX)
Social Worker Taxonomy 104100000X · Licence 2016001149 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence C011448 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW21586 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 13716 (SC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 100806 (IA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 8936-C (NV)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904010673 (VA)

Record details

NPI number1316483209
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 16, 2017
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024
Mailing address220 Athens Way Ste 240, Nashville, TN 37228-1311

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