Doctor Name: | THOMAS MARTIN FOSTER |
NPI Number: | 1023274495 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 075756 |
Business Practice Address: | 75 Seminary Hill Rd Carmel, NY - 105121921 |
Business Phone Number: | 8009892676 |
Business Fax Number: | 8457046178 |
Mailing Address: | Po Box 31094, HARTFORD |
State: | CT |
Postal Code: | 061501094 |
Phone Number: | 5189528140 |
Fax Number: | 5189528287 |
NPI Enumeration Date: | 08/05/2008 |
NPI Last Update Date: | 08/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 075756 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |