Doctor Name: | THOMAS J KIRK |
NPI Number: | 1033232673 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW; LCSW |
License Number: | CW017528 |
Business Practice Address: | 1500 Weiss St Saginaw, MI - 486025251 |
Business Phone Number: | 7342224300 |
Business Fax Number: | |
Mailing Address: | 6713 Mount Vernon Hills Dr, VANDERBILT |
State: | MI |
Postal Code: | 497959513 |
Phone Number: | 9899834525 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 01/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW017528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |