Provider Demographics
NPI:1891233003
Name:MURRAY, THOMAS D (LCSW)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:D
Last Name:MURRAY
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:PO BOX 1129
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04441-1129
Mailing Address - Country:US
Mailing Address - Phone:207-695-5210
Mailing Address - Fax:207-695-5233
Practice Address - Street 1:364 PRITHAM AVE
Practice Address - Street 2:
Practice Address - City:FRENCHTOWN TWP
Practice Address - State:ME
Practice Address - Zip Code:04441-7214
Practice Address - Country:US
Practice Address - Phone:207-695-5220
Practice Address - Fax:207-695-5234
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC43541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical