Provider Demographics
NPI:1609697978
Name:TOMSON, RITA DENISE (DSW, LMSW,CTP, CAIP)
Entity type:Individual
Prefix:DR
First Name:RITA
Middle Name:DENISE
Last Name:TOMSON
Suffix:
Gender:F
Credentials:DSW, LMSW,CTP, CAIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3075 ALA POHA PL APT 2010
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-1690
Mailing Address - Country:US
Mailing Address - Phone:718-496-0621
Mailing Address - Fax:
Practice Address - Street 1:1431 E 54TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3305
Practice Address - Country:US
Practice Address - Phone:718-496-0621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06037000104100000X
HILSW-3019104100000X
NY094406104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker