Individual provider Active NPI

Tory Thomas, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1003489741
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
102884 Issued in NY
Practice address
409 Gateway Dr # 1075
Brooklyn, NY 11239-2806
Phone
(718) 954-6708
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 102884 NY Primary

Addresses

Primary practice location

409 Gateway Dr # 1075
Brooklyn, NY 11239-2806

Mailing address

409 Gateway Dr # 1075
Brooklyn, NY 11239-2806
Phone (718) 954-6708

Other identifiers 1

IdentifierTypeStateIssuer
111365OtherNYLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://infotherapylc.wixsite.com/my-site-1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260519004258 NY Practitioner - Clinical Social Worker 6608345616 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

885 E 56TH St
Apt 6C
Brooklyn, NY 11234-1746
Phone (718) 954-6708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102884NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Humbled Beginnings for Youth CurrentSince Jul 25, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1003489741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 GATEWAY DR # 1075",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392806",
            "telephone_number": "718-954-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 GATEWAY DR # 1075",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392806",
            "telephone_number": "718-954-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TORY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "111365",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://infotherapylc.wixsite.com/my-site-1",
            "affiliation": "N",
            "endpointDescription": "website address",
            "address_1": "885 E 56th St Apt 6C",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112341746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.