Individual provider Active NPI

Codi A Thomas, LISW

  • Social Worker
  • Pomeroy, OH
National Provider Identifier
1285132613
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.2102722 Issued in OH
Practice address
41865 Pomeroy Pike
Pomeroy, OH 45769-9473
Phone
(740) 992-0540
Fax
(740) 773-4018
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1000814 OH
Social Worker 104100000X I.2102722 OH Primary

Addresses

Primary practice location

41865 Pomeroy Pike
Pomeroy, OH 45769-9473

Mailing address

PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20210407002546 OH Practitioner - Clinical Social Worker 4587071634 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1000814OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hopewell Health Centers Inc Current Accepting new patients
Hopewell Health Centers Inc CurrentSince Apr 5, 2021 Accepting new patients
Hopewell Health Centers, Inc. CurrentSince Apr 5, 2021 Accepting new patients
Integrated Services for Behavioral Health Past Accepting new patients
Integrated Services for Behavioral Health PastSince Jan 30, 2016 Accepting new patients

Locations

90 Hospital Dr
Athens, OH 45701
Phone (740) 592-3091

41865 Pomeroy Pike
Pomeroy, OH 45769
Phone (740) 992-0540

112 E Memorial Dr
Pomeroy, OH 45769
Phone (740) 992-2192

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/isaoh/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1285132613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456010188",
            "telephone_number": "740-773-4366",
            "fax_number": "740-773-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41865 POMEROY PIKE",
            "city": "POMEROY",
            "state": "OH",
            "postal_code": "457699473",
            "telephone_number": "740-992-0540",
            "fax_number": "740-773-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CODI",
        "middle_name": "A",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1000814",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2102722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomeroy, OH

Sources for this page

Verify at the official NPI Registry.