Provider Demographics
NPI:1205990249
Name:THOMSEN, LOIS ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:LOIS
Middle Name:ANN
Last Name:THOMSEN
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 1:7 HEPWORTH PL
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-3205
Mailing Address - Country:US
Mailing Address - Phone:973-736-1517
Mailing Address - Fax:
Practice Address - Street 1:14 PARK AVE
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-4902
Practice Address - Country:US
Practice Address - Phone:973-228-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052569001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical