Provider Demographics
NPI:1003383985
Name:HAMBLETON, THOMAS L (LCSW)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:L
Last Name:HAMBLETON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 WESLAYAN ST STE 350
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5733
Mailing Address - Country:US
Mailing Address - Phone:713-963-0769
Mailing Address - Fax:713-963-8536
Practice Address - Street 1:3100 WESLAYAN ST STE 350
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5733
Practice Address - Country:US
Practice Address - Phone:713-963-0769
Practice Address - Fax:713-963-8536
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical