Individual
JAYAN EDER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13804 LAKE POINT CIR STE 101, LOUISVILLE, KY 40223-4239
(502) 805-5858
(502) 805-5859
Mailing address
13804 LAKE POINT CIR STE 101, LOUISVILLE, KY 40223-4239
(502) 805-5858
(502) 805-5859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3122
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000712560
ANTHEM - NNS
KY
01
—
000057119D
HUMANA - NNS
KY
01
—
124684
SIHO - NNS
KY
01
—
2278675
CIGNA - NNS
KY
Enumeration date
08/17/2006
Last updated
03/28/2025
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