MEDICARE: MRS. DREWSILLA M THORNE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC04500200	NJ

General Provider Information

NPI Number	:	1366592750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DREWSILLA M THORNE LCSW

Provider Business Mailing Address
First Line	:	315 VALLEY ST
Second Line	:
City	:	SOUTH ORANGE
State	:	NJ
Zip	:	07079-2832
Country	:	US
Telephone Number	:	973-763-7979
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 VALLEY ST
Second Line	:
City	:	SOUTH ORANGE
State	:	NJ
Zip	:	07079-2832
Country	:	US
Telephone Number	:	973-763-7979
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	03/15/2026

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