Provider Demographics
NPI:1891704995
Name:KUROWSKI, THOMAS LORTON (LCSW)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:LORTON
Last Name:KUROWSKI
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 1:2301 J ST STE 103
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4713
Mailing Address - Country:US
Mailing Address - Phone:916-216-5344
Mailing Address - Fax:
Practice Address - Street 1:2301 J ST STE 103
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4713
Practice Address - Country:US
Practice Address - Phone:916-216-5344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA215021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical