Individual
MS. TAMARA IDETTE THORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMSC DSW LCSW, PA-C
Contact information
Practice address
635 STEPHENSON AVE, SAVANNAH, GA 31405-5970
(912) 352-2921
(912) 352-1038
Mailing address
PO BOX 2687, RICHMOND HILL, GA 31324-2687
(704) 898-7837
(912) 244-9958
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
1041C0700X
Clinical Social Worker
8654
SC
1041C0700X
Clinical Social Worker
C004844
NC
1041C0700X
Clinical Social Worker
CSW004234
GA
1041C0700X
Clinical Social Worker
—
NC
363A00000X
Physician Assistant
Primary
5697
GA
363AM0700X
Medical Physician Assistant
5697
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-05760
PA
NC
01
—
5697
PA LICENSE
GA
05
—
6003179
—
NC
01
—
C004844
LCSW
NC
01
—
CSW004234
LCSW
GA
Enumeration date
12/09/2006
Last updated
12/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us