Individual provider Active NPI

Amy Thomas, LISW-S

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1194754796
Registry record updated Nov 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0010125 Issued in OH
Practice address
75 State St FL 26
Boston, MA 02109-1827
Phone
(617) 204-3500
NPI assigned
Jul 3, 2006
Last updated
Nov 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2325 NH
Clinical Social Worker 1041C0700X CW016754 PA
Clinical Social Worker 1041C0700X LC22177 ME
Clinical Social Worker 1041C0700X 0010125 OH Primary

Addresses

Primary practice location

75 State St FL 26
Boston, MA 02109-1827

Mailing address

75 State St
Boston, MA 02109-1827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NH, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041104000587 OH Practitioner - Clinical Social Worker 0042273781 Reassigns benefits to 8 organizations
I20190618000981 NH Practitioner - Clinical Social Worker 0042273781 Reassigns benefits to 2 organizations
I20220516002974 PA Practitioner - Clinical Social Worker 0042273781 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010125OHMDClinical Social Worker
CW016754PAMDClinical Social Worker
2325NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Craig and Frances Lindner Center of Hope CurrentSince Oct 2, 2023 Accepting new patients
Rakesh Ranjan M.D. & Assoc., Inc. CurrentSince Mar 14, 2017 Accepting new patients
Medoptions of New Hampshire LLC Clinical CurrentSince May 5, 2019 Accepting new patients
Alcove Ventures LLC CurrentSince May 26, 2020 Accepting new patients
Lindner Center of Hope Professional Associates Social Worker CurrentSince Oct 2, 2023 Accepting new patients
The Counseling Center of Nashua Inc Clinical CurrentSince Jul 29, 2019 Accepting new patients
Che Senior Care Therapy Services PC Clinical CurrentSince Apr 11, 2022 Accepting new patients
Rakesh Ranjan MD & Associates, Inc. CurrentSince Mar 14, 2017 Accepting new patients
Children's Hospital Medical Center of Akron Current Accepting new patients
Signature Health, Inc CurrentSince Sep 4, 2018 Accepting new patients
Psychogeriatric Services LLC Clinical CurrentSince Jun 3, 2024 Accepting new patients
Children's Hospital Medical Center of Akron CurrentSince Mar 13, 2019 Accepting new patients
Signature Health, Inc. Current Accepting new patients
Generations Behavioral Health Clinic, LLC CurrentSince Dec 27, 2021 Accepting new patients
Signature Health Inc CurrentSince Sep 4, 2018 Accepting new patients
Psycho Social Therapies,LTD Clinical CurrentSince Jul 6, 2015 Accepting new patients
Children's Hospital Medical Center of Akron CurrentSince Mar 13, 2019 Accepting new patients
Psycho Social Therapies,LTD CurrentSince Jul 6, 2015 Accepting new patients
Equitas Health, Inc Past Accepting new patients
Stephen J Francis, MD, Inc. Past Accepting new patients
Portage Path Behavioral Health Past Accepting new patients
Humanistic Counseling Center LLC PastSince Jul 1, 2023 Accepting new patients
Portage Path Community Mental Health Center Past Accepting new patients
Moore Counseling & Mediation Services, Inc. Clinical Past Accepting new patients
Woodlands, Serving Central Ohio Inc. Clinical PastSince Jun 1, 2012 Accepting new patients
Bharat J Shah MD Inc PastSince Sep 22, 2003 Accepting new patients
Elliot Professional Services Past Accepting new patients
Portage Path Behavioral Health Past Accepting new patients

Locations

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

239 Pleasant St
Concord, NH 03301
Phone (603) 224-6561

24 Front St
Exeter, NH 03833
Phone (603) 772-3900

7 Baldwin St
Franklin, NH 03235
Phone (603) 671-3337

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

23366 Commerce Park
Ste 100B
Beachwood, OH 44122
Phone (216) 292-2880

23715 Mercantile Rd
Ste A203
Beachwood, OH 44122
Phone (216) 292-2880

12395 McCracken Rd
Ste H
Garfield Hts, OH 44125
Phone (216) 504-3646

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

4075 Old Western Row Rd
Mason, OH 45040
Phone (513) 536-0232

3567 Reserve Commons Dr
Ste 100
Medina, OH 44256
Phone (330) 664-9250

801 E Washington St
Ste 150
Medina, OH 44256
Phone (330) 722-1069

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333

38882 Mentor Ave
Willoughby, OH 44094

16 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7478

196 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7500

630 Freedom Business Ctr Dr
Fl 3
King of Prussia, PA 19406
Phone (484) 686-1008

146 E King St
Lancaster, PA 17602
Phone (302) 990-2323

208 Fernbrook Ave
Wyncote, PA 19095
Phone (610) 668-8553

Organizations & group practices 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700265600000",
    "number": "1194754796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 STATE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 STATE ST FL 26",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091827",
            "telephone_number": "617-204-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-11-18",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2325",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016754",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC22177",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0010125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.