Killian Locke Thomas, LCSW
Individual provider Active NPI Clinical Social Worker · Deer Lodge, MT
NPI 1124278973 · NPPES record last updated Sep 29, 2008
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jun 17, 2010.
Key facts
- NPI
- 1124278973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 602 (MT)
- Practice address
- 90 N Frontage Rd
Deer Lodge, MT 59722-9716 - Phone
- (406) 546-7382
- NPI assigned
- Sep 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 602 | MT | MD | Assistive Technology Supplier Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 602 | MT | Yes |
Addresses
Primary practice location
90 N Frontage Rd
Deer Lodge, MT 59722-9716
Mailing address
90 N Frontage Rd
Deer Lodge, MT 59722-9716
Phone (406) 546-7382
Other providers in Deer Lodge, MT
- Dale A Speiser
- Amanda Spell
- Jake Stewart Starr
- State of Montana
- Kimberly J Stavlo
- Patrick R Waber
- Ronda L Wangerin
- Judith H Wilson
- Nikole Wolfe
- Daniel Paul Woydick
All providers in Deer Lodge, MT · Clinical Social Worker in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.