Active NPI
Brandi Lachelle Thomas, LCSW
- Clinical Social Worker
- Tampa, FL
National Provider Identifier
1285732024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1662C
- Practice address
- 14517 Bruce B Downs Blvd Ste 201
Tampa, FL 33613-2755 - Phone
- (813) 228-2761
- Fax
- (813) 225-7048
- NPI assigned
- Sep 20, 2006
- 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 | 1662C | AL | Primary |
Addresses
Primary practice location
14517 Bruce B Downs Blvd Ste 201
Tampa, FL 33613-2755
Mailing address
PO Box 93055
Lakeland, FL 33804-3055
Phone (813) 228-2761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1662C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285732024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93055",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338043055",
"telephone_number": "813-228-2761",
"fax_number": "813-225-7048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14517 BRUCE B DOWNS BLVD STE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336132755",
"telephone_number": "813-228-2761",
"fax_number": "813-225-7048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "BRANDI",
"middle_name": "LACHELLE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "1662C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.