Phillip Jay Thomson, LCSW
Social Worker, Clinical in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1982184792
StatusActive
Last updated in NPPESAug 30, 2024
Details
- NPI
- 1982184792
- Entity type
- Individual (NPI-1)
- Name
- Phillip Jay Thomson
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2018
- Certification date
- Aug 30, 2024
- Last updated
- Aug 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 21109 | OK | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 104100000X | Social Worker | – | – |
Practice location
5208 W Reno AveOklahoma City, OK 73127-6344
Phone 405-948-4900 · Fax 405-948-4933
Mailing address
4913 W Reno AveOklahoma City, OK 73127-6339
Phone 405-948-4900 · Fax 405-948-4933
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