Provider Demographics
NPI:1669608584
Name:ERNST, THOMAS ANDREW (LSW)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:ANDREW
Last Name:ERNST
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 E LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2723
Mailing Address - Country:US
Mailing Address - Phone:610-873-1005
Mailing Address - Fax:610-873-3317
Practice Address - Street 1:1140 MCDERMOTT DR
Practice Address - Street 2:100/101
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4043
Practice Address - Country:US
Practice Address - Phone:610-430-6141
Practice Address - Fax:610-430-7708
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW008380L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker