Provider Demographics
NPI:1306484118
Name:FUCHS, THOMAS (PLMHP, PCMSW, LADC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:FUCHS
Suffix:
Gender:M
Credentials:PLMHP, PCMSW, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 S 37TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-1210
Mailing Address - Country:US
Mailing Address - Phone:402-346-8898
Mailing Address - Fax:402-346-1129
Practice Address - Street 1:604 S 37TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-1210
Practice Address - Country:US
Practice Address - Phone:402-346-8898
Practice Address - Fax:402-346-1129
Is Sole Proprietor?:No
Enumeration Date:2019-12-12
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11536101YM0800X
NE7307104100000X
NE1142101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker