Provider Demographics
NPI:1992251474
Name:EARNSHAW, THOMAS F (LCSW)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:EARNSHAW
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8939 SANTA CLARA DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-4136
Mailing Address - Country:US
Mailing Address - Phone:214-244-1384
Mailing Address - Fax:
Practice Address - Street 1:400 N ALLEN DR STE 304
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2577
Practice Address - Country:US
Practice Address - Phone:469-573-1848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX547541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical