MEDICARE: THOMAS ANDREW TOMPKINS L.C.S.W.

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
1	1041C0700X	Clinical Social Worker	58368	TX

General Provider Information

NPI Number	:	1588109813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS ANDREW TOMPKINS L.C.S.W.

Provider Business Mailing Address
First Line	:	19 WILD MEADOW CT
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77380-4302
Country	:	US
Telephone Number	:	210-884-8670
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 WILD MEADOW CT
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77380-4302
Country	:	US
Telephone Number	:	210-884-8670
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2016
Last Update Date	:	12/15/2025

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