Provider Demographics
NPI:1912787433
Name:THOMAS, ALEXUS CIERRA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:ALEXUS
Middle Name:CIERRA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1891 SPRINGSTEEN RD APT 106
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-5984
Mailing Address - Country:US
Mailing Address - Phone:803-622-4920
Mailing Address - Fax:
Practice Address - Street 1:1891 SPRINGSTEEN RD APT 106
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-5984
Practice Address - Country:US
Practice Address - Phone:803-622-4920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC16041104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC16041OtherSC BOARD OF SOCIAL WORK