Provider Demographics
NPI:1801973292
Name:THOMAS, NANCY LOATMAN (LCSWR)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LOATMAN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ERVIN DR
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-3805
Mailing Address - Country:US
Mailing Address - Phone:845-298-7293
Mailing Address - Fax:845-297-7102
Practice Address - Street 1:1475 ROUTE 376
Practice Address - Street 2:STE F
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-6133
Practice Address - Country:US
Practice Address - Phone:845-298-7293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR039406-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical