Active NPI
Zachary Mitchell Thomas, MSW
- Clinical Social Worker
- Delta, CO
National Provider Identifier
1225566870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09926601
- Practice address
- 360 E 8TH St
Delta, CO 81416-2379 - Phone
- (970) 874-2753
- Fax
- (970) 399-7005
- NPI assigned
- May 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | 09926601 | CO | Primary |
Addresses
Primary practice location
360 E 8TH St
Delta, CO 81416-2379
Mailing address
360 E 8TH St
Delta, CO 81416-2379
Phone (970) 874-2753
Other practice location 1
300 Stafford Ln Unit 30217
Delta, CO 81416-2256
Phone (317) 460-1344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | zachthomas269@gmail.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 09926601 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1225566870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 E 8TH ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814162379",
"telephone_number": "970-874-2753",
"fax_number": "970-399-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 E 8TH ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814162379",
"telephone_number": "970-874-2753",
"fax_number": "970-399-7005"
}
],
"practiceLocations": [
{
"address_1": "300 Stafford Ln Unit 30217",
"address_purpose": "LOCATION",
"city": "Delta",
"state": "CO",
"postal_code": "814162256",
"country_code": "US",
"telephone_number": "317-460-1344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "ZACHARY",
"middle_name": "MITCHELL",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-26",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09926601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "zachthomas269@gmail.com",
"affiliation": "N",
"address_1": "300 Stafford Ln Unit 30217",
"city": "Delta",
"state": "CO",
"country_code": "US",
"postal_code": "814162256",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.