Provider Demographics
NPI:1740581164
Name:THOMAS, TASHIMA (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:TASHIMA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5030
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28299-2201
Mailing Address - Country:US
Mailing Address - Phone:443-219-7878
Mailing Address - Fax:
Practice Address - Street 1:1233 THE PLZ UNIT 5030
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28299-2201
Practice Address - Country:US
Practice Address - Phone:980-515-3704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-17
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0753171041C0700X
VA09040085561041C0700X
NCC0187541041C0700X
MD182791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical