Stephens, Thomas Christopher

Stephens, Thomas Christopher is an sole proprietor health care provider with primary practice located at 237 Delaware Avenue Delaware Executive Office Suites, Suite 11, Olean NY 14760. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Stephens, Thomas Christopher can be contacted via phone (716) 378-7210.

Contact Information

Primary practice address
237 Delaware Avenue Delaware Executive Office Suites, Suite 11 Olean NY 14760
Phone: (716) 378-7210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X R0415881 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R0415881 New York

Profile Details

NPI number 1104995018
LBN Legal business name Stephens, Thomas Christopher
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Feb 9th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104995018 NPPES
New York MEDICAID 01906532

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