Sallie Thomas

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093588 Issued in MI

Practice address

1904 North Blvd
Cadillac, MI 49601-9100

Phone

(231) 884-0786

Fax

(231) 468-2215

NPI assigned

Jul 16, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Time to Thrive Counseling Agency, LLC

  • Clinical Social Worker
  • Cadillac, MI
  • NPI 1104387984
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1104200369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 NORTH BLVD",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496019100",
            "telephone_number": "231-884-0786",
            "fax_number": "231-468-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 NORTH BLVD",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496019100",
            "telephone_number": "231-884-0786",
            "fax_number": "231-468-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SALLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Taylor
• Heather Susanne Teed
• Louis Charles Tegtmeyer, D.O.
• Terrence W. Tatarchuk, M.D., P.C.
• Teter Orthotics & Prosthetics Inc
• Kerry Jean Thompson
• Lisa Marie Thompson, DPT
• Nathan Marcus Thomsen
• Thrive Therapy & Wellness, PC
• Time to Thrive Counseling Agency, LLC

• Clinical Social Worker in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.