Individual provider Active NPI

Angelia Elaine Thomas, LCSW

  • Clinical Social Worker
  • Harrisburg, PA
National Provider Identifier
1184438780
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW024998 Issued in PA
Practice address
1100 S Cameron St
Harrisburg, PA 17104-2547
Phone
(717) 408-1353
NPI assigned
Feb 4, 2025
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 CW024998 PA Primary

Addresses

Primary practice location

1100 S Cameron St
Harrisburg, PA 17104-2547

Mailing address

1100 S Cameron St
Harrisburg, PA 17104-2547
Phone (717) 408-1353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250220002680 PA Practitioner - Clinical Social Worker 6002336005 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW024998PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Uplift Therapy, LLC. Clinical Current Accepting new patients
Connectionspa LLC CurrentSince Feb 1, 2025 Accepting new patients
Connectionspa LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

2390 E Camelback Rd
Ste 400
Phoenix, AZ 85016
Phone (703) 543-9948

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

1100 S Cameron St
Ste 2
Harrisburg, PA 17104
Phone (717) 408-1353

1100 S Cameron St
Harrisburg, PA 17104
Phone (717) 232-8761

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1184438780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S CAMERON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042547",
            "telephone_number": "717-408-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S CAMERON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042547",
            "telephone_number": "717-408-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANGELIA",
        "middle_name": "ELAINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.