Thomas J Doust, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34000699A Issued in IN

Practice address

3154 Mallard Cove Lane
Ft Wayne, IN 46804

Phone

(260) 432-2489

Fax

(260) 432-8236

NPI assigned

Sep 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164524781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3154 MALLARD COVE LANE",
            "city": "FT WAYNE",
            "state": "IN",
            "postal_code": "46804",
            "telephone_number": "260-432-2489",
            "fax_number": "260-432-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 MALLARD COVE LANE",
            "city": "FT WAYNE",
            "state": "IN",
            "postal_code": "46804",
            "telephone_number": "260-432-2489",
            "fax_number": "260-432-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUST",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000699A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Douglas, SLPD
• Ronald Jason Douglas, PA
• Steven S Douglas, HAD
• Jenna Leeann Doumont, PT, DPT
• Nicole Lindsay Doust
• Steven Douthett, DPM
• Kelly Dowdell
• Rachel Dowdell, RBT
• Alyssa Anne Dowler, FNP
• Gregory C. Dowling, MD

• Clinical Social Worker in Ft Wayne, IN
• Providers in Ft Wayne, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.