Kirsten Jane Thom, LCSW, LAC, MSW is a
Social Worker - Clinical based in Fort Collins, Colorado. Kirsten Jane Thom is licensed to practice in Colorado (license number CSW.00001738) and her current practice location is
700 Centre Ave, Fort Collins, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 494-4200.
NPI number for Kirsten Jane Thom is 1104179647 and her current mailing address is 4856 Innovation Dr Ste B, Fort Collins, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104179647.
Healthcare Provider's Profile
Full Name | Kirsten Jane Thom |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 700 Centre Ave, Fort Collins, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104179647
- Provider Enumeration Date: 10/22/2012
- Last Update Date: 05/31/2019
Medical Identifiers
Medical identifiers for Kirsten Jane Thom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104179647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0000199 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.00001738 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kirsten Jane Thom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kirsten Jane Thom, LCSW, LAC, MSW 4856 Innovation Dr Ste B, Fort Collins, CO 80525-5540 Ph: (970) 494-4200 | Kirsten Jane Thom, LCSW, LAC, MSW 700 Centre Ave, Fort Collins, CO 80526-2023 Ph: (970) 494-4200 |
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