Provider Demographics
NPI:1275849200
Name:THOMAS, KATIE M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KATIE
Middle Name:M
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 ELM ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-5318
Mailing Address - Country:US
Mailing Address - Phone:919-770-0878
Mailing Address - Fax:919-573-9633
Practice Address - Street 1:1012 ELM ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-5318
Practice Address - Country:US
Practice Address - Phone:919-561-5076
Practice Address - Fax:919-573-9633
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical