MEDICARE: THOMAS M WAITE LCSW

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	251S00000X	Community/Behavioral Health Agency	C003627	NC

General Provider Information

NPI Number	:	1679960868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS M WAITE LCSW

Provider Business Mailing Address
First Line	:	102 CASTLE CT
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-7737
Country	:	US
Telephone Number	:	252-335-9239
Fax Number	:	252-335-9239

Provider Business Practice Location Address
First Line	:	102 CASTLE CT
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-7737
Country	:	US
Telephone Number	:	252-335-9239
Fax Number	:	252-335-9239

Authorized Official
Title or Position	:	CEO
Name	:	THOMAS MICHAEL WAITE
Credential	:	MSW, LCSW, PLLC
Telephone Number	:	252-335-9239

Provider Enumeration Date	:	04/25/2015
Last Update Date	:	04/25/2015

Similar Medicare Providers

1013006410 — MS. JUDY ELLEN GORDON L.M.H.C.
Practice Location Address:

5006 DORSEY HALL DR , C-2
ELLICOTT CITY, MD
21042-7737

Practice Phone: 443-604-2741
Practice Fax:

1558566976 — MRS. PAULA ANDERSON DEMONET LPC
Practice Location Address:

234 BRYSON WALK
BRYSON CITY, NC
28713-7737

Practice Phone: 828-736-2023
Practice Fax: 828-488-9939

1154518330 — NEW HORIZON YOUTH & FAMILY SERVICES, LLC
Practice Location Address:

720 W WILSHIRE BLVD STE 104
OKLAHOMA CITY, OK
73116-7737

Practice Phone: 405-463-0966
Practice Fax: 405-463-0967

1568284651 — TIEIOKO LENOIR
Practice Location Address:

4300 OHIO ST
MICHIGAN CITY, IN
46360-7737

Practice Phone: 219-315-7861
Practice Fax:

1447052766 — SUPERIOR HOME HEALTH LLC.
Practice Location Address:

720 W WILSHIRE BLVD STE 110
OKLAHOMA CITY, OK
73116-7737

Practice Phone: 405-849-6893
Practice Fax: 405-849-9182

1750228169 — MATTHEW ROBERT BAGBY
Practice Location Address:

9826 HEFNER VILLAGE PL
OKLAHOMA CITY, OK
73162-7737

Practice Phone: 918-978-9693
Practice Fax:

Directions to “THOMAS M WAITE LCSW ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.