Thomas, Jacky T.

Thomas, Jacky T. is an individual health care provider with primary practice located at 1517 Nicholasville Rd Ste 400 Suite 400, Lexington KY 40503-1429. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thomas, Jacky T. can be contacted via phone (859) 276-5285.

Contact Information

Primary practice address
1517 Nicholasville Rd Ste 400 Suite 400 Lexington KY 40503-1429
Fax: (859) 277-3513
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 406 Kentucky

Profile Details

NPI number 1417165655
LBN Legal business name Thomas, Jacky T.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2007
Last updated Jul 8th, 2007 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417165655 NPPES
Kentucky Other 000000051966 ANTHEM

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