Provider Demographics
NPI:1124344205
Name:CAUGHLAN, THOMAS CHARLES (LCSW)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:CHARLES
Last Name:CAUGHLAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911057
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80291-1057
Mailing Address - Country:US
Mailing Address - Phone:888-269-7001
Mailing Address - Fax:303-764-6640
Practice Address - Street 1:2925 PROFESSIONAL PL STE 101
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-8125
Practice Address - Country:US
Practice Address - Phone:719-776-6850
Practice Address - Fax:719-776-6855
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.000019921041C0700X
CO19921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical