MS. LYNN MARIE THEBO (NPI# 1487077459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487077459 |
| Entity Type | Individual |
| Full Name | MS. LYNN MARIE THEBO |
| Credential | LCSW |
| Practice Address |
3109 Southwest Blvd. Ste. B San Angelo TX 76904 |
| Mailing Address |
3109 Southwest Blvd Ste. B San Angelo TX 76904 |
| Practice Telephone | 3259397641 |
| Practice Fax Number | 3259397641 |
| Mailing Telephone | 3259397641 |
| Mailing Fax Number | 3259397641 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2016-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
50867 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE PTAN | 348231ZGGP | 01 |
| Street Address |
3109 SOUTHWEST BLVD. STE. B |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| 1285855338 | Marty Daniel | Pharmacist | 3520 Knickerbocker Road Suite A, San Angelo, TX 76904 | 2007-05-02 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255993374 | Jared Franklin Mccain | Social Worker | 1729 Tuscorora Ct, San Angelo, TX 76904-9513 | 2019-06-29 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1912329947 | Tonya Starkey | Social Worker | 6218 Hallye Ct, San Angelo, TX 76904-4741 | 2014-01-10 |
| 1710146931 | William Fuller | Social Worker | 242 N Magdalen St, San Angelo, TX 76903-5434 | 2008-06-03 |
| 1659558880 | Leslie Lynn Bennett | Social Worker | 2102 Pecos St Ste 10, San Angelo, TX 76901-3061 | 2008-01-30 |
| 1750444923 | Myrl Case | Social Worker | 2137 Office Park Dr, Suite E, San Angelo, TX 76904-6893 | 2006-12-19 |
| 1194834150 | Ernest Neil Snipes | Social Worker | 16 E Beauregard Ave, Suite 500, San Angelo, TX 76903-5831 | 2006-08-30 |
| 1396854154 | Barbara Lee Davis | Social Worker | 3109 Southwest Blvd, San Angelo, TX 76904-5742 | 2006-08-29 |
| 1689109712 | Karren Johnson | Social Worker | 242 N Magdalen St, San Angelo, TX 76903-5434 | 2017-04-26 |
| 1912364852 | Yolanda Balderas Jasso | Social Worker | 242 N Magdalen St, San Angelo, TX 76903-5434 | 2016-01-22 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.