Provider Demographics
NPI:1821529371
Name:OWUSU-ASANTE, THOMAS L (LCSW)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:L
Last Name:OWUSU-ASANTE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1913 W TAYLOR ST APT 114
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-3135
Mailing Address - Country:US
Mailing Address - Phone:157-422-9228
Mailing Address - Fax:
Practice Address - Street 1:1913 W TAYLOR ST APT 114
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-3135
Practice Address - Country:US
Practice Address - Phone:574-229-2282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33008102A104100000X
TX1080471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker