Individual provider Active NPI

Thomas Jeffords, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1174127831
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PENDING Issued in NC
Practice address
30 Garfield St Ste a
Asheville, NC 28803-7301
Phone
(828) 423-8859
NPI assigned
Nov 24, 2020
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PENDING NC Primary

Addresses

Primary practice location

30 Garfield St Ste a
Asheville, NC 28803-7301

Mailing address

9 Kenilworth KNLS Apt 321
Asheville, NC 28805-1882
Phone (646) 345-7938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130001791 NC Practitioner - Clinical Social Worker 7113370842 Practice locations: Asheville, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

29 N Market St
Suite 300
Asheville, NC 28801-2924
Phone (828) 423-8859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PENDINGNCMDNeonatal Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1174127831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KENILWORTH KNLS APT 321",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051882",
            "telephone_number": "646-345-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GARFIELD ST STE A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288037301",
            "telephone_number": "828-423-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFORDS",
        "first_name": "THOMAS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.