MEDICARE: NANCY F. THURSTON, LCSW, PA

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

General Provider Information

NPI Number	:	1801455621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NANCY F. THURSTON, LCSW, PA

Provider Business Mailing Address
First Line	:	111 LAUREL WAY
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-8260
Country	:	US
Telephone Number	:	561-791-1888
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 SANDTREE DRIVE
Second Line	:	SUITE 210B
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33403-1538
Country	:	US
Telephone Number	:	561-791-1888
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. NANCY F. THURSTON
Credential	:	LCSW, PA
Telephone Number	:	561-791-1888

Provider Enumeration Date	:	06/06/2019
Last Update Date	:	07/24/2019

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