Provider Demographics
NPI:1346381340
Name:THOMAS, JOANNE STEVENS (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:STEVENS
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 1:61 MATTHEW DR
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13901-5748
Mailing Address - Country:US
Mailing Address - Phone:607-648-9249
Mailing Address - Fax:
Practice Address - Street 1:61 MATTHEW DR
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13901-5748
Practice Address - Country:US
Practice Address - Phone:607-648-9249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR055748-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical