Individual provider Active NPI

Fiona Thomas, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1043621329
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
083326 Issued in NY
Practice address
111 Dahlgren PL
Brooklyn, NY 11228-3693
Phone
(718) 745-4288
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 189
Social Worker 104100000X
Social Worker 104100000X 083326 NY Primary

Addresses

Primary practice location

111 Dahlgren PL
Brooklyn, NY 11228-3693

Mailing address

32 Lenox Rd Apt F10
Brooklyn, NY 11226-2339
Phone (646) 251-5167

Other practice location 1

18220 141st Ave
Springfield Gardens, NY 11413-3003
Phone (646) 251-5167

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
I20240613000830 NY Practitioner - Clinical Social Worker 4587106968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brooklyn Psychotherapy LCSW Services PCGroup PAC ID 5991031833, 2 clinicians

Practice addresses (Care Compare)

111 Dahlgren PL
BSMT
Brooklyn, NY 11228-3693
Phone (718) 745-4288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
083326NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Psychotherapy LCSW Services PC CurrentSince May 4, 2024 Accepting new patients
Advanced Psychotherapy and Behavioral Health Services LCSW PC Social Worker CurrentSince May 4, 2024 Accepting new patients

Locations

2810 Steinway St
Astoria, NY 11103
Phone (718) 225-2244

111 Dahlgren Pl
Brooklyn, NY 11228
Phone (718) 745-4288

111 Dahlgren Pl
Bsmt
Brooklyn, NY 11228
Phone (718) 437-5570

Organizations & group practices 2

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": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1043621329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LENOX RD APT F10",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262339",
            "telephone_number": "646-251-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DAHLGREN PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283693",
            "telephone_number": "718-745-4288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18220 141st Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield Gardens",
            "state": "NY",
            "postal_code": "114133003",
            "country_code": "US",
            "telephone_number": "646-251-5167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "FIONA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "189",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "083326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.