MEDICARE: MS. JANET LYNN GREEN THOMAS LGSW

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	0904019777	VA
2	104100000X	Social Worker	DP00946508	WV

General Provider Information

NPI Number	:	1932804754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET LYNN GREEN THOMAS LGSW

Provider Business Mailing Address
First Line	:	224 SADDLEBRED DR
Second Line	:
City	:	HEDGESVILLE
State	:	WV
Zip	:	25427-7104
Country	:	US
Telephone Number	:	681-513-9306
Fax Number	:	775-254-7254

Provider Business Practice Location Address
First Line	:	224 SADDLEBRED DR
Second Line	:
City	:	HEDGESVILLE
State	:	WV
Zip	:	25427-7104
Country	:	US
Telephone Number	:	681-513-9306
Fax Number	:	775-254-7254

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

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	01/30/2026

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