Provider Demographics
NPI:1366941239
Name:THYR, JOLENE MARIE (LMSW)
Entity type:Individual
Prefix:
First Name:JOLENE
Middle Name:MARIE
Last Name:THYR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 DELAWARE AVE SW
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-1951
Mailing Address - Country:US
Mailing Address - Phone:712-541-1672
Mailing Address - Fax:
Practice Address - Street 1:33 4TH ST NW
Practice Address - Street 2:
Practice Address - City:SIOUX CENTER
Practice Address - State:IA
Practice Address - Zip Code:51250-1870
Practice Address - Country:US
Practice Address - Phone:712-722-1700
Practice Address - Fax:712-722-1770
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker