Individual provider Active NPI

Joanne Thomas, MSW, LICSW

  • Mental Health Counselor
  • Keyser, WV
National Provider Identifier
1033831706
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BP00944506 Issued in WV
Practice address
139 Plaza Drive
Keyser, WV 26726
Phone
(045) 973-5773
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X BP00944506 WV Primary
Mental Health Counselor 101YM0800X 28233 MD

Addresses

Primary practice location

139 Plaza Drive
Keyser, WV 26726

Mailing address

6610 George Washington Hwy
Oakland, MD 21550-5821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250324002514 WV Practitioner - Clinical Social Worker 6608398276 Reassigns benefits to 2 organizations
I20250407000264 MD Practitioner - Clinical Social Worker 6608398276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP00944506WVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Valley Hospital of W VA , Inc CurrentSince Feb 12, 2025 Accepting new patients
Potomac Valley Hospital of W VA , Inc Current Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Apr 1, 2025 Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Apr 1, 2025 Accepting new patients
Potomac Valley Hospital of WV, Inc. CurrentSince Feb 12, 2025 Accepting new patients

Locations

69 Wolf Acres Dr
Lowr
Oakland, MD 21550
Phone (301) 334-5151

880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177

69 Wolf Acres Dr
Oakland, MD 21550
Phone (301) 334-4400

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

139 Plaza Dr
Keyser, WV 26726
Phone (304) 597-3455

Organizations & group practices 5

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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1033831706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 GEORGE WASHINGTON HWY",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215505821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 PLAZA DRIVE",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "26726",
            "telephone_number": "045-973-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JOANNE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "BP00944506",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "28233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

Verify at the official NPI Registry.