Provider Demographics
NPI:1932696952
Name:THOMAS, LAURIE STONE (LCSW)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:STONE
Last Name:THOMAS
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 1:725 OAK AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-4430
Mailing Address - Country:US
Mailing Address - Phone:540-471-9022
Mailing Address - Fax:540-941-8807
Practice Address - Street 1:501 W BROAD ST STE H
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-4519
Practice Address - Country:US
Practice Address - Phone:540-471-9022
Practice Address - Fax:540-941-8807
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-16
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040102801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0904010280OtherCOMMONWEALTH OF VIRGINIA DEPT. OF HEALTH PROFESSIONALS