Individual
EBONY-NICOLE L THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4271 DEFENDER DR UNIT 205, CINCINNATI, OH 45252-2301
(513) 635-2330
Mailing address
4271 DEFENDER DR UNIT 205, CINCINNATI, OH 45252-2301
(513) 635-2330
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2308680
OH
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/03/2020
Last updated
09/23/2025
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