Active NPI
Thomas J Sowers, LCSW
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1114431947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-41171
- Practice address
- PO Box 748465
Atlanta, GA 30374-8465 - Phone
- (855) 284-7483
- Fax
- (617) 807-0958
- NPI assigned
- Dec 1, 2017
- Last updated
- Dec 9, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-41171 | ID | Primary |
Addresses
Primary practice location
PO Box 748465
Atlanta, GA 30374-8465
Mailing address
261 Buckcamp LN
McCall, ID 83638-5092
Phone (208) 849-3079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
26 S Baltic PL
Suite 150
Meridian, ID 83642-5508
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-41171 | ID | MD | Clinical Social Worker |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1114431947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 BUCKCAMP LN",
"city": "MCCALL",
"state": "ID",
"postal_code": "836385092",
"telephone_number": "208-849-3079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 748465",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748465",
"telephone_number": "855-284-7483",
"fax_number": "617-807-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWERS",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-01",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-41171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Olamide Soyomokun
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- Lydia May Spaans, CPNP
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.