Provider Demographics
NPI:1962690032
Name:DRANSFIELD, THOMAS JOHN (LISW-S)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:JOHN
Last Name:DRANSFIELD
Suffix:
Gender:M
Credentials:LISW-S
Other - Prefix:MR
Other - First Name:TIM
Other - Middle Name:
Other - Last Name:DRANSFIELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LISW-S
Mailing Address - Street 1:27 AVON PL
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-1402
Mailing Address - Country:US
Mailing Address - Phone:740-541-3268
Mailing Address - Fax:
Practice Address - Street 1:27 AVON PL
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-1402
Practice Address - Country:US
Practice Address - Phone:740-541-3268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-13
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0002574104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0002574OtherCOUNSELOR AND SOCIAL WORK