Cleary, Thomas J
Cleary, Thomas J is an individual health care provider with primary practice located at 1708 Dayton , Wichita Falls TX 76301-6110. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cleary, Thomas J can be contacted via phone (940) 500-4408.Contact Information
Primary practice address
1708 Dayton
Wichita Falls TX 76301-6110
Phone: (940) 500-4408
Fax: (940) 386-1318
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | S10023 | Texas |
Profile Details
NPI number | 1952300162 |
---|---|
LBN Legal business name | Cleary, Thomas J |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2005 |
Last updated | Mar 9th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952300162 | NPPES |
Texas | MEDICAID | 108288504 | |
Texas | Other | 00S85Q | |
Texas | MEDICAID | 108288502 |
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