Healthcare Provider Details

I. General information

NPI: 1588109813
Provider Name (Legal Business Name): THOMAS ANDREW TOMPKINS L.C.S.W.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2016
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 WILD MEADOW CT
SPRING TX
77380-4302
US

IV. Provider business mailing address

19 WILD MEADOW CT
SPRING TX
77380-4302
US

V. Phone/Fax

Practice location:
  • Phone: 210-884-8670
  • Fax:
Mailing address:
  • Phone: 210-884-8670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number58368
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: