Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tanita Martin-Thames, LCSW

Individual provider Clinical Social Worker · NPI 1336565035

Tanita Martin-Thames, LCSW is a Clinical Social Worker in Jackson, Mississippi. Practices as a sole proprietor and works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2014
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

2637 Ridgewood Rd Ste G
Jackson, MS 39216-4971
Phone: (913) 915-6236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1015 Amherst St, Clinton, MS 39056 — (601) 473-6311

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C7489 (MS)

Record details

NPI number1336565035
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 5, 2014
Last updated in NPPESDecember 5, 2018

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