Thomas Wales, MSW, Licsw

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14061 Issued in MN

Legal business name

THOMAS WALES, MSW, LICSW

Practice address

627 Snelling Ave S
Suite 200
Saint Paul, MN 55116-1590

Phone

(651) 699-1062

Fax

(651) 699-1084

NPI assigned

Apr 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Thomas Gwynne Wales, MSW, LICSWNPI 1245491877

Title

Psychotherapist

Phone

(651) 699-1062

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Gwynne Wales, MSW LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1245491877
  NPD (past) Authorized official
• Nancy Mulvey, MSW, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1225098700
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1063534469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 SNELLING AVE S",
            "address_2": "SUITE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161590",
            "telephone_number": "651-699-1062",
            "fax_number": "651-699-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 SNELLING AVE S",
            "address_2": "SUITE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161590",
            "telephone_number": "651-699-1062",
            "fax_number": "651-699-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS WALES, MSW, LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "WALES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GWYNNE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "651-699-1062",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4442601-00",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "090H8WA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Allen, Inc.
• Thomas Allen, Inc.
• Thomas Allen, Inc.
• Thomas Allen, Inc.
• Thomas Dental Group PA
• Andrew J Thomas, MD
• Barbara Ann Thomas, RN ,CNP
• Benjamin Thomas, DDS
• Christopher David Thomas, M.D.
• Denise Thomas

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.