Individual provider Active NPI

Thomas Justin Sherry, LCSW

  • Social Worker
  • Asheville, NC
National Provider Identifier
1194892356
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
C003660 Issued in NC
Practice address
30 Hendersonville Rd Ste 12
Asheville, NC 28803-2396
Phone
(828) 545-1358
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X C003660 NC Primary

Addresses

Primary practice location

30 Hendersonville Rd Ste 12
Asheville, NC 28803-2396

Mailing address

30 Hendersonville Rd Ste 12
Asheville, NC 28803-2396
Phone (828) 545-1358

Other practice location 1

775 Haywood Road
Suite I
Asheville, NC 28806
Phone (828) 225-3770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C003660NCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Sherry LCSW PA Past Accepting new patients

Organizations & group practices 1

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1194892356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HENDERSONVILLE RD STE 12",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032396",
            "telephone_number": "828-545-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HENDERSONVILLE RD STE 12",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032396",
            "telephone_number": "828-545-1358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Haywood Road",
            "address_2": "Suite I",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "28806",
            "country_code": "US",
            "telephone_number": "828-225-3770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRY",
        "first_name": "THOMAS",
        "middle_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C003660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.