Syrea Thomas

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1500859-SUPV Issued in OH

Practice address

540 Officenter PL Ste 180
Gahanna, OH 43230-5321

Phone

(216) 310-4458

NPI assigned

Sep 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1265211338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 OFFICENTER PL STE 180",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 OFFICENTER PL STE 180",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305321",
            "telephone_number": "216-310-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SYREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1121378",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.1500859-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1500859-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The RX Lab LLC
• Dale R. Theis, D.D.S
• Theracare Inc
• Kenvin Thoi, PA-C
• Meagan S Thomas, PA-C
• Jennifer E Thompson, RD, LD
• Rhonda E. Thompson, CNP
• Victor B Thompson, MD
• Ahmad Thornton
• Mark W Thurman, MD

• Clinical Social Worker in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.