Active NPI
Katie M Thomas, LCSW
- Clinical Social Worker
- Sanford, NC
National Provider Identifier
1275849200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1012 Elm St
Sanford, NC 27330-5318 - Phone
- (919) 561-5076
- Fax
- (919) 573-9633
- NPI assigned
- Aug 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1012 Elm St
Sanford, NC 27330-5318
Mailing address
1012 Elm St
Sanford, NC 27330-5318
Phone (919) 770-0878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 29, 2018 through Aug 29, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1275849200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 ELM ST",
"city": "SANFORD",
"state": "NC",
"postal_code": "273305318",
"telephone_number": "919-770-0878",
"fax_number": "919-573-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 ELM ST",
"city": "SANFORD",
"state": "NC",
"postal_code": "273305318",
"telephone_number": "919-561-5076",
"fax_number": "919-573-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KATIE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-27",
"last_updated": "2024-04-19",
"certification_date": "2024-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.