Provider Demographics
NPI:1689641979
Name:THAKCER, NANCY (LCSW-R; MSED)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:THAKCER
Suffix:
Gender:F
Credentials:LCSW-R; MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 WITTENBERG RD
Mailing Address - Street 2:
Mailing Address - City:BEARSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12409-5644
Mailing Address - Country:US
Mailing Address - Phone:845-679-8522
Mailing Address - Fax:845-679-8522
Practice Address - Street 1:307 WALL ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3893
Practice Address - Country:US
Practice Address - Phone:845-679-8522
Practice Address - Fax:845-679-8522
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO44373-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical