Autumn Thomas, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2222 Colonial Rd
Fort Pierce, FL 34950-5309

Phone

(772) 489-4726

NPI assigned

Nov 3, 2022

Last updated

Nov 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Suncoast Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stuart, FL
  • NPI 1689242620
  NPD

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1265149645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 NE MARANTA TERRADO",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575019",
            "telephone_number": "772-323-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 COLONIAL RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349505309",
            "telephone_number": "772-489-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AUTUMN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://suncoastmentalhealth.org/",
            "affiliation": "N",
            "address_1": "2222 Colonial Rd",
            "city": "Fort Pierce",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349505309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• The Smile Mission Fort Pierce PLLC
• Justine Taylor Theisen, M.A. CCC-SLP
• Therapy Professional Network
• Sainlouitane Theus, D.O.M
• Aquanda Thomas
• Jenna Thomas, DO
• Marianne Thomas
• Mary E Thomas, LCSW
• Robert Thomas
• Taneisha Thomas

• Clinical Social Worker in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.