Doctor Name: | JACQUELINE ANN THOMAS |
NPI Number: | 1528434461 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 9 Harding St Medfield, MA - 020521216 |
Business Phone Number: | 7749939329 |
Business Fax Number: | 5083591853 |
Mailing Address: | 9 Harding St, MEDFIELD |
State: | MA |
Postal Code: | 020521216 |
Phone Number: | 7749939329 |
Fax Number: | 5083591853 |
NPI Enumeration Date: | 08/14/2015 |
NPI Last Update Date: | 08/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |