Active NPI
Iris V Thomas, LCSW-C
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1124150115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10237
- Practice address
- 9030 State Route 108
Oakland Center
Columbia, MD 21045-1951 - Phone
- (410) 740-1901
- Fax
- (410) 740-2503
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- 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 | 10237 | MD | Primary |
Addresses
Primary practice location
9030 State Route 108
Oakland Center
Columbia, MD 21045-1951
Mailing address
9030 State Route 108
Oakland Center
Columbia, MD 21045-1951
Phone (410) 740-1901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10237 | MD | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124150115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9030 STATE ROUTE 108",
"address_2": "OAKLAND CENTER",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210451951",
"telephone_number": "410-740-1901",
"fax_number": "410-740-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9030 STATE ROUTE 108",
"address_2": "OAKLAND CENTER",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210451951",
"telephone_number": "410-740-1901",
"fax_number": "410-740-2503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "IRIS",
"middle_name": "V",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "10237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.