Active NPI
Nicole L Thomason, BSW
- Social Worker
- Clarkston, WA
National Provider Identifier
1053015651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 900 7TH St
Clarkston, WA 99403-2005 - Phone
- (509) 758-3341
- NPI assigned
- Mar 28, 2023
- 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 | Primary |
Addresses
Primary practice location
900 7TH St
Clarkston, WA 99403-2005
Mailing address
900 7TH St
Clarkston, WA 99403-2005
Phone (509) 758-3341
Other names 1
- Nicole L Burgess
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Behavioral Health | Past | Accepting new patients | |
| Quality Behavioral Health | Past | Accepting new patients |
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Clarkston, WA
- NPI 1790707776
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Pomeroy, WA
- NPI 1992888481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1053015651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 7TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032005",
"telephone_number": "509-758-3341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 7TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032005",
"telephone_number": "509-758-3341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMASON",
"first_name": "NICOLE",
"middle_name": "L",
"credential": "BSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-28",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "BURGESS",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.