Nicole Lindsay Thoma, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61445366 Issued in WA

Practice address

130 Nickerson St Ste 305
Seattle, WA 98109-1658

Phone

(206) 681-7586

NPI assigned

Sep 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 2, 2025 through May 2, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Riverbank Therapy, PLLC

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1184286742
  NPD (past)

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1225814650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 NICKERSON ST STE 305",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 NICKERSON ST STE 305",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091658",
            "telephone_number": "206-681-7586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3876 Bridge Way N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981037951",
            "country_code": "US",
            "telephone_number": "206-681-7586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMA",
        "first_name": "NICOLE",
        "middle_name": "LINDSAY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61445366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sorphorn Thoam
• Lisa I. Thocher
• Annie Thoe, LMP, GCFP
• Thom Markeson Dentistry, PS
• Kelly Thoma
• Sophie O'Neill Thoma
• Thomas C Gustafson
• Thomas H. Hohl, D.D.S., P.S., Oral & Maxillofacial Surgery
• Thomas J Deal MD
• Thomas J Smith MD PS Inc

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.