Active NPI
Gary Lynn Thomas, LMSW,ACSW
- Clinical Social Worker
- Milford, MI
National Provider Identifier
1003180720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801091528
- Practice address
- 1042 N Milford Rd
Suite 205
Milford, MI 48381-5107 - Phone
- (284) 825-9545
- NPI assigned
- Feb 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801091528 | MI | Primary |
Addresses
Primary practice location
1042 N Milford Rd
Suite 205
Milford, MI 48381-5107
Mailing address
653 Woodside Dr
Milford, MI 48381-1691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801091528 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1003180720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 WOODSIDE DR",
"city": "MILFORD",
"state": "MI",
"postal_code": "483811691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1042 N MILFORD RD",
"address_2": "SUITE 205",
"city": "MILFORD",
"state": "MI",
"postal_code": "483815107",
"telephone_number": "284-825-9545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "GARY",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "LMSW,ACSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-27",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801091528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.