Individual provider Active NPI

Meagan Renae Thomas, LCSW

  • Clinical Social Worker
  • Flower Mound, TX
National Provider Identifier
1093430787
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
62116 Issued in TX
Practice address
3204 Long Prairie Rd Ste a
Flower Mound, TX 75022-4958
Phone
(940) 613-1436
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 62116 TX Primary

Addresses

Primary practice location

3204 Long Prairie Rd Ste a
Flower Mound, TX 75022-4958

Mailing address

1529 Redwood Crest LN
Flower Mound, TX 75028-1448
Phone (940) 613-1436

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MThomas@bricolagebehavioral.com Direct

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

State licenses

LicenseStateTypeSpecialty
62116TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bricolage Behavioral Health, LLC PastSince Oct 9, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mthomas@bricolagebehavioral.com

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1093430787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 REDWOOD CREST LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281448",
            "telephone_number": "940-613-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 LONG PRAIRIE RD STE A",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224958",
            "telephone_number": "940-613-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MEAGAN",
        "middle_name": "RENAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MThomas@bricolagebehavioral.com",
            "affiliation": "N",
            "endpointDescription": "Protected Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3204 Long Prairie Rd Ste A",
            "city": "Flower Mound",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750224958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.