Provider Demographics
NPI:1114937570
Name:NANCY L THOMAS MSW INC
Entity Type:Organization
Organization Name:NANCY L THOMAS MSW INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:620-227-7823
Mailing Address - Street 1:810 W FRONTVIEW ST
Mailing Address - Street 2:
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-2231
Mailing Address - Country:US
Mailing Address - Phone:620-227-7823
Mailing Address - Fax:620-227-8451
Practice Address - Street 1:810 W FRONTVIEW ST
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-2231
Practice Address - Country:US
Practice Address - Phone:620-227-7823
Practice Address - Fax:620-227-8451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW2131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS180523OtherBLUE CROSS BLUE SHIELD
KS180523OtherBLUE CROSS BLUE SHIELD