Kishauna Deirdre-Ann Thomas | Windsor, CT • PECOS Search

Kishauna Deirdre-Ann Thomas

Social Worker

Behavioral Health & Social Service Providers

995 Day Hill Rd, Windsor, CT 06095-1722

PECOS Enrollment

Based on the most recent information from CMS, provider Kishauna Deirdre-Ann Thomas does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1366649360
Provider Type
Individual
Full Name
Thomas, Kishauna Deirdre-Ann
Title
Ms.
Credential
MSW

Gender
Female
Sole Proprietor
No
Enumeration Date
7/2/2007
Last Updated
8/5/2008

Contact Information

Practice Location

995 Day Hill Rd, Windsor, CT 06095-1722

(860) 731-5536

Mailing Location

995 Day Hill Rd, Windsor, CT 06095-1722

(860) 731-5536

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer