# AMETHYST ST THOMAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679038111
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904015053 | VA | — |
| 1041C0700X | Clinical Social Worker | 108783 | TX | Yes |
| 1041C0700X | Clinical Social Worker | 16996 | FL | — |
| 1041C0700X | Clinical Social Worker | 200001840 | DC | — |
| 1041C0700X | Clinical Social Worker | 31820 | MD | — |

## Other

- **Enumeration date:** 02/08/2019
- **Last updated:** 03/25/2026