Thomas Wales, Msw, Licsw

LBN: Thomas Wales, Msw, Licsw
Thomas Wales, Msw, Licsw is an health care organization with primary practice located at 627 Snelling Ave S Suite 200, Saint Paul MN 55116-1590. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Thomas Wales, Msw, Licsw can be contacted via phone (651) 699-1062, or through Wales, Thomas Gwynne via phone (651) 699-1062.

Contact Information

Primary practice address
627 Snelling Ave S Suite 200 Saint Paul MN 55116-1590
Phone: (651) 699-1062
Fax: (651) 699-1084
Website:
Map and Directions
Authorized official contact:
Name: Wales, Thomas Gwynne MSW, LICSW
Phone: (651) 699-1062

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 14061 Minnesota

Profile Details

NPI number 1063534469
LBN Legal business name Thomas Wales, Msw, Licsw
DBA Doing business as
Authorized official Wales, Thomas Gwynne MSW, LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Jun 16th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063534469 NPPES
Minnesota MEDICAID 4442601-00
Minnesota Other 090H8WA

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