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NPI Code Detail

MEDICARE: EMILY THOMAS LMSW

MEDICARE: EMILY THOMAS LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801098495MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134591688
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY THOMAS LMSW
Provider Business Mailing Address
First Line : 9315 TELEGRAPH RD
Second Line :
City : REDFORD
State : MI
Zip : 48239-1260
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9315 TELEGRAPH RD
Second Line :
City : REDFORD
State : MI
Zip : 48239-1260
Country : US
Telephone Number : 313-319-5816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2015
Last Update Date : 01/14/2026

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Directions to “ EMILY THOMAS LMSW” Practice Location

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