Thomas A Gonsalves Incorporated in Mccomb - Clinical
Thomas A Gonsalves Incorporated - NPI 1659311967
Thomas A Gonsalves Incorporated is a Clinical in Mccomb, Mississippi. Thomas A Gonsalves Incorporated practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thomas A Gonsalves Incorporated is 1659311967. The last update date is 2010-10-19.
Thomas A Gonsalves Incorporated's current location address is 307 Apache Drive, Mccomb, Mississippi. You can contact this provider via phone number 6015511327. The mailing address for Thomas A Gonsalves Incorporated is 307 Apache Drive, Mccomb, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Thomas A Gonsalves Incorporated |
|---|---|
| Address | 307 Apache Drive, Mccomb, Mississippi |
| Phone Number | 6015511327 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gonsalves Allen Thomas |
| Credentials | AM LCSW |
| Telephone Number | 6015511327 |
NPI Number Detail
| NPI Number | 1659311967 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2010-10-19 |
Provider Mailing Address Detail
| Address | 307 Apache Drive |
|---|---|
| City | Mccomb |
| State | Mississippi (MS) |
| Post Code | 396486309 |
| Phone Number | 6015511327 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C5647 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 279761404A | MS | BLUE CROSS BLUE SHIELD | |
| 1908563 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Thomas A Gonsalves Incorporated?
The Thomas A Gonsalves Incorporated has been issued the NPI (National Provider Identifier) 1659311967 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Thomas A Gonsalves Incorporated's physical address?
The Thomas A Gonsalves Incorporated is physically located at 307 Apache Drive, in the city of Mccomb, MS, with the postal code 396486309.
What is Thomas A Gonsalves Incorporated's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas A Gonsalves Incorporated's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the Thomas A Gonsalves Incorporated's 1659311967 issued?
The Thomas A Gonsalves Incorporated's 1659311967 was issued on 2006-06-07.
When was the Thomas A Gonsalves Incorporated's information last updated?
The Thomas A Gonsalves Incorporated's information was last updated on 2010-10-19.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH