Provider Demographics
NPI:1669344198
Name:WASHINGTON, THOMAS II (LCSWA)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:WASHINGTON
Suffix:II
Gender:M
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 BARNSBURY CT
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-7905
Mailing Address - Country:US
Mailing Address - Phone:910-709-4606
Mailing Address - Fax:
Practice Address - Street 1:2829 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5403
Practice Address - Country:US
Practice Address - Phone:910-656-8019
Practice Address - Fax:910-676-8009
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0223861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty