Active NPI
Tory Thomas, LMSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1003489741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 102884
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111365 | Other | NY | LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 102884 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humbled Beginnings for Youth | Current | 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.
-
- Community/Behavioral Health Agency
- Brooklyn, NY
- NPI 1174470678
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.