Thomasine Thornton Wortham, MSW,ACSW,LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6801062851 Issued in MI

Practice address

2387 S Linden Rd
Ste 104
Flint, MI 48532-5487

Phone

(810) 230-8955

Fax

(810) 963-0103

NPI assigned

Dec 21, 2007

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

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Grace Consulting Systems Inc.

  • Clinic/Center
  • Flint, MI
  • NPI 1861031098

  MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1265616510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 FLUSHING RD",
            "address_2": "SUITE 106",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48504",
            "telephone_number": "810-230-8955",
            "fax_number": "810-963-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 S LINDEN RD",
            "address_2": "STE 104",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325487",
            "telephone_number": "810-230-8955",
            "fax_number": "810-963-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHAM",
        "first_name": "THOMASINE",
        "middle_name": "THORNTON",
        "name_prefix": "Mrs.",
        "credential": "MSW,ACSW,LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801062851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dezre T Wooley
• Eriannah Wooten
• Words of Encouragement Counseling Agency PC
• Work of Heart Home Care LLC
• Meron Yohannes Worku, MD
• Carlis Worthy
• Scott Wray
• Chloressa Wren
• Haley Jane Wren, PT, DPT
• Kenneth Michael Wressell

• All providers in Flint, MI
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.