Thomas Smith, LCSW

NPI 1306051065 · on the registry since 2007

Practice

Address: 90 Hope Dr Bldg 1900
Mountain Home Afb, ID 83648
Phone: (208) 828-7580
Organisation at this address: Mt Home Refill Phcy
366th Medical Group Sgsl
366th Medgrp-Mountain Home
366th Medgrp-Mountain Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 87

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Also registered as: Social Worker
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-06-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho