Provider Demographics
NPI:1720852106
Name:THOMAS, CLAIRE ISABEL (MSW, LSW)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ISABEL
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 LINCOLN AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3860
Mailing Address - Country:US
Mailing Address - Phone:412-872-0676
Mailing Address - Fax:
Practice Address - Street 1:10431 PERRY HWY STE 210C
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9200
Practice Address - Country:US
Practice Address - Phone:412-301-7224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW139636104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker