Basic Information
| Provider Information | |||||||||
| NPI: | 1831267848 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NAJDOWSKI | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | GREGORY | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | LCSW,MFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6110 CAMINO FORESTAL | ||||||||
| Address2: | |||||||||
| City: | SAN CLEMENTE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926736403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9492185412 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 12440 IMPERIAL HWY STE 116 | ||||||||
| Address2: | |||||||||
| City: | NORWALK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 906508347 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8008547771 | ||||||||
| FaxNumber: | 5628683749 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 7932 | CA | X | Behavioral Health & Social Service Providers | Social Worker | Clinical | 106H00000X | 15508 | CA | X | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.