Provider Demographics
NPI:1508070681
Name:THOMAS, RENEE WILLIAMS (MSW)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:WILLIAMS
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11205 JOYCETON DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1540
Mailing Address - Country:US
Mailing Address - Phone:301-350-7118
Mailing Address - Fax:
Practice Address - Street 1:1025 VERMONT AVE NW STE 310
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3516
Practice Address - Country:US
Practice Address - Phone:202-293-8296
Practice Address - Fax:202-293-4583
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3016491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical