MEDICARE: MR. KENNETH RICHARD THAU M.S.W., J.D.

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	0904003262	VA

General Provider Information

NPI Number	:	1013980523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KENNETH RICHARD THAU M.S.W., J.D.

Provider Business Mailing Address
First Line	:	PO BOX 807
Second Line	:
City	:	BRISTOW
State	:	VA
Zip	:	20136-0807
Country	:	US
Telephone Number	:	202-320-5322
Fax Number	:

Provider Business Practice Location Address
First Line	:	7969 SEQUOIA PARK WAY
Second Line	:
City	:	BRISTOW
State	:	VA
Zip	:	20136-1286
Country	:	US
Telephone Number	:	202-320-5322
Fax Number	:

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

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	02/04/2025

Similar Medicare Providers

1417659749 — KIMBERLY ANN ERICKSON
Practice Location Address:

7965 SEQUOIA PARK WAY
BRISTOW, VA
20136-1286

Practice Phone: 703-945-0917
Practice Fax:

1316895402 — FNU NOORULLAH
Practice Location Address:

12443 BURGHEAD DR
BRISTOW, VA
20136-3015

Practice Phone: 202-365-1368
Practice Fax:

1174257869 — DR. USAMA NASIR OD
Practice Location Address:

10338 BRISTOW CENTER DR
BRISTOW, VA
20136-2201

Practice Phone: 703-392-1010
Practice Fax: 703-392-4975

1265388839 — NAMASTEY WORLD LLC
Practice Location Address:

12062 ELLIOTS OAK PL
BRISTOW, VA
20136-1260

Practice Phone: 703-789-0143
Practice Fax:

1124974704 — ABSERA TRANSPORT LLC
Practice Location Address:

12209 JENNELL DR
BRISTOW, VA
20136-1127

Practice Phone: 703-895-8867
Practice Fax:

1922008291 — FREDERICK W PARKER III M.D.
Practice Location Address:

10322 BRISTOW CENTER DR
BRISTOW, VA
20136-2201

Practice Phone: 571-284-4230
Practice Fax: 703-257-1495

Directions to “ MR. KENNETH RICHARD THAU M.S.W., J.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.