Active NPI
Thomas Lawrence Floyd, ACSW, LCSW-C, LICSW
- Clinical Social Worker
- Sunderland, MD
National Provider Identifier
1114123155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14617
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LC301300 | Other | DC | COMMERCIAL INSURANCE |
| 14617 | Other | MD | COMMERCIAL INSURANCES |
Other names 1
- Mr. Thomas L. Floyd
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC301300 | DC | MD | Clinical Social Worker |
| 14617 | MD | MD | Pharmacist 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.