Provider Demographics
NPI:1649830381
Name:SAUNDERS, THOMAS (LCSW)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:SAUNDERS
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 1:507 N BOULEVARD APT 24
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-3337
Mailing Address - Country:US
Mailing Address - Phone:804-512-8682
Mailing Address - Fax:
Practice Address - Street 1:507 N BOULEVARD APT 24
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-3337
Practice Address - Country:US
Practice Address - Phone:804-512-8682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040096651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical