Individual
MS. ANTAYSIA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10908 COURTHOUSE RD STE 102149, FREDERICKSBURG, VA 22408-2658
(540) 210-7624
(833) 520-1508
Mailing address
10908 COURTHOUSE RD STE 102149, FREDERICKSBURG, VA 22408-2658
(540) 210-7624
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010671
VA
1041C0700X
Clinical Social Worker
31292
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30016769040004
—
VA
Enumeration date
11/08/2018
Last updated
01/21/2026
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