Organization
SOMERSET MENTAL HEALTH, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASON M THAYER LCSW (ADMINISTRATOR)
(606) 679-6995
Entity
Organization
Contact information
Practice address
149 ENTERPRISE DR, SOMERSET, KY 42501-6155
(606) 679-6995
(606) 451-9465
Mailing address
149 ENTERPRISE DR, SOMERSET, KY 42501-6155
(606) 679-6995
(606) 451-9465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
KY
251S00000X
Community/Behavioral Health Agency
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29102217
—
KY
05
—
7100190490
—
KY
Enumeration date
06/26/2006
Last updated
02/06/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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