Individual provider Active NPI

Veliska Joy Thomas, LCSW

  • Clinical Social Worker
  • Athens, TN
National Provider Identifier
1194925404
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5475 Issued in TN
Practice address
744 Tell St
Ste 100
Athens, TN 37303-3148
Phone
(423) 507-8826
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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 5475 TN Primary

Addresses

Primary practice location

744 Tell St
Ste 100
Athens, TN 37303-3148

Mailing address

744 Tell Street, Ste 100
P.O. Box 367
Athens, TN 37371-0367
Phone (423) 507-8826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20141121001446 TN Practitioner - Clinical Social Worker 5991027286 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BH Services Southeast 1 PCGroup PAC ID 7012457054, 96 clinicians
Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians

Practice addresses (Care Compare)

18 N Cavalier Dr
Alamo, TN 38001-6468
Phone (731) 696-4500

215 Richardson Way
Maynardville, TN 37807-3803
Phone (865) 992-5816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Aug 1, 2021 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Feb 11, 2019 Accepting new patients
BH Services Southeast 1 PC CurrentSince Mar 1, 2025 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Nov 18, 2024 Accepting new patients
Psychiatric Services of East Tennessee Past Accepting new patients

Locations

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

40 Nursing Home Rd
Lynchburg, TN 37352
Phone (931) 359-6000

395 Interstate Dr
Manchester, TN 37355
Phone (931) 723-8744

215 Richardson Way
Maynardville, TN 37807
Phone (423) 992-5816

Organizations & group practices 5

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1194925404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 TELL STREET, STE 100",
            "address_2": "P.O. BOX 367",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373710367",
            "telephone_number": "423-507-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 TELL ST",
            "address_2": "STE 100",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033148",
            "telephone_number": "423-507-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "VELISKA",
        "middle_name": "JOY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.