Provider Demographics
NPI:1740776673
Name:THOMAS, MARGARET JEAN (LAPSW)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:JEAN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LAPSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2577 FONTAINE RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38106-8519
Mailing Address - Country:US
Mailing Address - Phone:901-409-8971
Mailing Address - Fax:
Practice Address - Street 1:2577 FONTAINE RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38106-8519
Practice Address - Country:US
Practice Address - Phone:901-409-8971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-03
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNASW0000000184104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker