# JAYAN THOMAS LCSW LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386280683
- **Authorized official:** JAYAN THOMAS (PRESIDENT)
- **Authorized official phone:** (502) 805-5858

## Contact information

- **Practice address:** 13113 EASTPOINT PARK BLVD STE G, LOUISVILLE, KY 40223-4191
- **Practice address phone:** (502) 805-5858
- **Practice address fax:** (502) 805-5859
- **Mailing address:** 4103 BROWNSBORO GLEN RD, LOUISVILLE, KY 40241-1196
- **Mailing address phone:** (502) 805-5858
- **Mailing address fax:** (502) 805-5859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2019
- **Last updated:** 11/21/2019