| Organization Name: | THOMAS CHEMRIS, LCSW,LLC |
| NPI Number: | 1043304876 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS WALTER CHEMRIS (PRESIDENT) |
| Mailing Address: | 1613 Rte 88 West Suite6 Brick |
| State: | NJ US |
| Postal Code: | 08724 |
| Phone Number: | 7329383080 |
| Fax Number: | 7329383085 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 07/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 44SC05184500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |