Breanne L Thomas, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15611 Issued in FL

Practice address

1200 Alamanda Rd NE
Palm Bay, FL 32905-4221

Phone

(321) 723-1055

NPI assigned

Aug 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Burke Group Counseling & Consulting Professionals LLC

  • Clinical Social Worker
  • Grandville, MI
  • NPI 1639593627
  NPD

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1114441060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N 3RD ST STE 300",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555550",
            "telephone_number": "740-349-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ALAMANDA RD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054221",
            "telephone_number": "321-723-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BREANNE",
        "middle_name": "L",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S1500925",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.breanne@brevardpublicschools.org",
            "affiliation": "N",
            "endpointDescription": "school email",
            "address_1": "1200 Alamanda Rd NE",
            "city": "Palm Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329054221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• The Oasis Compassionate Care L.L.C.
• The Social,LLC
• Therapy Source Solutions,LLC
• There's Nothing Like Homecare LLC
• Autumn Thomas, LAT, ATC
• Melanie R Thomas, MD
• Monique Thomas
• Paulna Thomas, A.R.N.P.
• Bernadette Diana Thompson, RRT
• Cori Thompson

• Clinical Social Worker in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.