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General NPI Number Information
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NPI Number | 1891223541
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Entity Type | Individual
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Provider Name | THOMAS ANTHONY WELLS LCSW, MASTERS CASAC
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Gender | Male
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 418 BROADWAY STE 4921
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 518-394-0182
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Fax | 518-836-0648
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Provider Business Mailing Address
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Address Line | 418 BROADWAY STE 4921
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 518-394-0182
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Fax | 518-836-0648
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 31568
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 105434
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC06390600
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 093504
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 014248
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License Number State | CT
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200003526
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License Number State | DC
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