Thomas Bomar Edmonds Jr., BOMAR EDMONDS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LISW CP 27 Issued in SC

Practice address

203 Mansfield Dr
Spartanburg, SC 29307-1109

Phone

(864) 579-0569

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Thomas Bomar Edmonds Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144299983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MANSFIELD DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071109",
            "telephone_number": "864-579-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MANSFIELD DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071109",
            "telephone_number": "864-579-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "THOMAS",
        "middle_name": "BOMAR",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BOMAR EDMONDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "LISW CP 27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "EDMONDS",
            "middle_name": "BOMAR",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gail Ellis Ebert, LMFT-A, MMFT
• Muhammad Y Ebrahim, MD
• Ryan Matthew Edelbrock, MD
• Haley Williams Edge, LMSW
• Carrie Hudson Edmonds, LPC
• Edward Bert Knight 111, MD, PC
• Ann Marie Harrill Edwards, M.D.
• Charles David Edwards, PMHNP
• Crystal Edwards, LPC
• Cynthia A Edwards, FNP

• Clinical Social Worker in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.