Provider Demographics
NPI:1518484591
Name:THORN, MEREDITH RACHEL (LSW)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:RACHEL
Last Name:THORN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:RACHEL
Other - Last Name:THORN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MEREDITH THORN, LSW
Mailing Address - Street 1:1301 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-2460
Mailing Address - Country:US
Mailing Address - Phone:614-299-6600
Mailing Address - Fax:614-421-3111
Practice Address - Street 1:527 S HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5602
Practice Address - Country:US
Practice Address - Phone:614-227-9444
Practice Address - Fax:614-251-4897
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1303103104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker