Provider Demographics
NPI:1437803632
Name:THOMAS, NIYABINGHI N (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NIYABINGHI
Middle Name:N
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 1:9405 DORAL CT APT 12
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-1634
Mailing Address - Country:US
Mailing Address - Phone:423-999-8673
Mailing Address - Fax:
Practice Address - Street 1:9405 DORAL CT APT 12
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-1634
Practice Address - Country:US
Practice Address - Phone:423-999-8673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2564891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical