Provider Demographics
NPI:1811297476
Name:THOMAS, EMERALD (LCSW)
Entity type:Individual
Prefix:MS
First Name:EMERALD
Middle Name:
Last Name:THOMAS
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 1:451 CLARKSON AVE BUILDING R
Mailing Address - Street 2:KINGS COUNTY HOSPITAL BEHAVIORAL HEALTH CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203
Mailing Address - Country:US
Mailing Address - Phone:718-245-2717
Mailing Address - Fax:718-771-3873
Practice Address - Street 1:KINGS COUNTY HOSPITAL BEHAVIORAL HEALTH CENTER
Practice Address - Street 2:451 CLARKSON AVENUE, ADULT OUTPATIENT CLINIC
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-245-2717
Practice Address - Fax:718-771-3873
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0761921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical