Individual provider · Type 1 NPI

Revonder Thomas, LCSW

Clinical Social Worker · Shreveport, LA

NPI number 1073766747 Active

Practice location

510 E Stoner Ave
Shreveport, LA 71101-4243

Call (318) 221-8411 Map

Fax (318) 424-6156

Mailing address

510 E. Stoner Ave.
Shreveport, LA 71101-4295

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8942 (LA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1073766747

Revonder Thomas, LCSW's National Provider Identifier is 1073766747, issued on Oct 28, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shreveport, LA. The record was last updated on Oct 28, 2008.