Provider Demographics
NPI:1689896888
Name:MCGRATH, THOMAS M (ACSW,LCSW, LMFT, PHD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:MCGRATH
Suffix:
Gender:M
Credentials:ACSW,LCSW, LMFT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 SPRINGTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-4045
Mailing Address - Country:US
Mailing Address - Phone:908-689-5706
Mailing Address - Fax:
Practice Address - Street 1:93 SPRINGTOWN RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-4045
Practice Address - Country:US
Practice Address - Phone:973-361-5555
Practice Address - Fax:973-361-7354
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001702001041C0700X
NJ37FI00117200106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist