Provider Demographics
NPI:1093938003
Name:QUINN, THOMAS FRANCIS (LCSW, LADC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:FRANCIS
Last Name:QUINN
Suffix:
Gender:M
Credentials:LCSW, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 POST RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-8367
Mailing Address - Country:US
Mailing Address - Phone:203-790-8666
Mailing Address - Fax:203-792-3558
Practice Address - Street 1:152 DEER HILL AVE
Practice Address - Street 2:SUITE #115
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7791
Practice Address - Country:US
Practice Address - Phone:203-792-6968
Practice Address - Fax:203-792-3558
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0023031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical