Provider Demographics
NPI:1063579878
Name:CROUCIER, TOMAS H (MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:TOMAS
Middle Name:H
Last Name:CROUCIER
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24330 NARBONNE AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-1131
Mailing Address - Country:US
Mailing Address - Phone:310-534-1083
Mailing Address - Fax:310-784-3640
Practice Address - Street 1:24330 NARBONNE AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-1131
Practice Address - Country:US
Practice Address - Phone:310-534-1083
Practice Address - Fax:310-784-3640
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker