Active NPI
Ladawna Elynne Thomas
- Clinical Social Worker
- Bridgeton, MO
National Provider Identifier
1003439837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2020000315
- Practice address
- 3482 Hollenberg Dr
Bridgeton, MO 63044-2429 - Phone
- (314) 614-1385
- NPI assigned
- May 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 2020000315 | MO | Primary |
Addresses
Primary practice location
3482 Hollenberg Dr
Bridgeton, MO 63044-2429
Mailing address
1749 Grape Ave
Saint Louis, MO 63147-1434
Phone (314) 614-1385
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020000315 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1003439837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 GRAPE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631471434",
"telephone_number": "314-614-1385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3482 HOLLENBERG DR",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442429",
"telephone_number": "314-614-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "LADAWNA",
"middle_name": "ELYNNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-27",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2020000315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.