Provider Demographics
NPI:1457363731
Name:MONEY, THOMAS B (LCSW)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:B
Last Name:MONEY
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 1:12 BEECH RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03908-2131
Mailing Address - Country:US
Mailing Address - Phone:207-459-9078
Mailing Address - Fax:
Practice Address - Street 1:775 US ROUTE ONE
Practice Address - Street 2:SUITE #5
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-5407
Practice Address - Country:US
Practice Address - Phone:207-459-9078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC98191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME431956399Medicaid
MEME1354Medicare ID - Type Unspecified