Provider Demographics
NPI:1508027186
Name:MATHEW, THOMAS (LMSW)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:
Last Name:MATHEW
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18410 JAMAICA AVE
Mailing Address - Street 2:FIFTH FLOOR
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-2400
Mailing Address - Country:US
Mailing Address - Phone:718-454-6940
Mailing Address - Fax:
Practice Address - Street 1:18410 JAMAICA AVE
Practice Address - Street 2:FIFTH FLOOR
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-2400
Practice Address - Country:US
Practice Address - Phone:718-454-6940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker