Provider Demographics
NPI:1326594698
Name:THENOR-LOUIS, NANCY (LMSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:THENOR-LOUIS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 JENNIFER LANE
Mailing Address - Street 2:
Mailing Address - City:HARSTDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530
Mailing Address - Country:US
Mailing Address - Phone:917-301-6454
Mailing Address - Fax:
Practice Address - Street 1:26 JENNIFER LANE
Practice Address - Street 2:
Practice Address - City:HARSTDALE
Practice Address - State:NY
Practice Address - Zip Code:10530
Practice Address - Country:US
Practice Address - Phone:917-301-6454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044312-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker