Individual provider Active NPI

Thomas Hugh Tilford, LCSW

  • Clinical Social Worker
  • San Angelo, TX
National Provider Identifier
1174216378
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103529 Issued in TX
Practice address
2018 Pulliam St
San Angelo, TX 76905-5148
Phone
(325) 659-7270
Fax
(325) 659-7464
NPI assigned
Jun 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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 103529 TX Primary

Addresses

Primary practice location

2018 Pulliam St
San Angelo, TX 76905-5148

Mailing address

3401 Tanglewood Dr
San Angelo, TX 76904-6022
Phone (775) 293-3997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20250127000378 NV Practitioner - Clinical Social Worker 9133587124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Bee Ririe HospitalGroup PAC ID 9335051747, 40 clinicians

Practice addresses (Care Compare)

1500 Ave H
Ely, NV 89301

1500 Ave H
Ely, NV 89301-2615
Phone (775) 289-3612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
William Bee Ririe Retail Pharmacy CurrentSince Jan 13, 2025 Accepting new patients
William Bee Ririe Hospital CurrentSince Jan 13, 2025 Accepting new patients

Locations

1500 Avenue H
Ely, NV 89301
Phone (775) 289-3001

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1174216378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 TANGLEWOOD DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046022",
            "telephone_number": "775-293-3997",
            "fax_number": "325-659-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 PULLIAM ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769055148",
            "telephone_number": "325-659-7270",
            "fax_number": "325-659-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILFORD",
        "first_name": "THOMAS",
        "middle_name": "HUGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.