Search › Wisconsin › 104100000X
Todd Thomas, LCSW, LICSW, LMFT
NPI 1932452448 · on the registry since 2012
Practice
- Address
- 1622 N 48th St
Milwaukee, WI 53208 - Phone
- (414) 200-9275
- Fax
- (414) 200-9276
- Organisation at this address
- Vital Roots Wellness
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 1041C0700X
106H00000X - Licence states on file
- MN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-10
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 Wisconsin