Provider Demographics
NPI:1770853863
Name:NABORS, TYMESIA BETH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TYMESIA
Middle Name:BETH
Last Name:NABORS
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 1:1445 THE PLZ
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2639
Mailing Address - Country:US
Mailing Address - Phone:518-881-2000
Mailing Address - Fax:518-881-3923
Practice Address - Street 1:1445 THE PLZ
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2639
Practice Address - Country:US
Practice Address - Phone:518-881-2000
Practice Address - Fax:518-881-3923
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081026-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical