Individual provider Active NPI

Thomas Lawrence Floyd, ACSW, LCSW-C, LICSW

  • Clinical Social Worker
  • Sunderland, MD
National Provider Identifier
1114123155
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14617 Issued in MD
Practice address
1845 Foggy Bottom Court
Sunderland, MD 20689-3008
Phone
(301) 655-0842
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14617 MD Primary
Clinical Social Worker 1041C0700X LC301300 DC

Addresses

Primary practice location

1845 Foggy Bottom Court
Sunderland, MD 20689-3008

Mailing address

1845 Foggy Bottom Court
Sunderland, MD 20689-3008
Phone (301) 655-0842

Other identifiers 2

IdentifierTypeStateIssuer
LC301300OtherDCCOMMERCIAL INSURANCE
14617OtherMDCOMMERCIAL INSURANCES

Other names 1

  • Mr. Thomas L. Floyd Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20210108000048 MD Practitioner - Clinical Social Worker 5991118192 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC301300DCMDClinical Social Worker
14617MDMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1114123155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 FOGGY BOTTOM COURT",
            "city": "SUNDERLAND",
            "state": "MD",
            "postal_code": "206893008",
            "telephone_number": "301-655-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 FOGGY BOTTOM COURT",
            "city": "SUNDERLAND",
            "state": "MD",
            "postal_code": "206893008",
            "telephone_number": "301-655-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "THOMAS",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "ACSW, LCSW-C, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14617",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC301300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "LC301300",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCES",
            "identifier": "14617",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "FLOYD",
            "middle_name": "L.",
            "prefix": "MR.",
            "credential": "ACSW, LCSW-C, LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sunderland, MD

Sources for this page

Verify at the official NPI Registry.