Provider Demographics
NPI:1306732151
Name:THOMAS, ROSALIND D (LMSW)
Entity type:Individual
Prefix:
First Name:ROSALIND
Middle Name:D
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3012 ROBALO
Mailing Address - Street 2:
Mailing Address - City:GAUTIER
Mailing Address - State:MS
Mailing Address - Zip Code:39553-7140
Mailing Address - Country:US
Mailing Address - Phone:228-249-5697
Mailing Address - Fax:
Practice Address - Street 1:3012 ROBALO
Practice Address - Street 2:
Practice Address - City:GAUTIER
Practice Address - State:MS
Practice Address - Zip Code:39553-7140
Practice Address - Country:US
Practice Address - Phone:228-249-5697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSM-10237104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker