Individual provider Active NPI

Thomas S Steward, LCSW

  • Clinical Social Worker
  • Los Alamos, NM
National Provider Identifier
1285784553
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-3379 Issued in NM
Practice address
3250 Trinity Dr Ste C
Los Alamos, NM 87544-2226
Phone
(505) 412-0010
NPI assigned
Jan 11, 2007
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-3379 NM Primary

Addresses

Primary practice location

3250 Trinity Dr Ste C
Los Alamos, NM 87544-2226

Mailing address

62 Grand Canyon Dr
White Rock, NM 87547-3400
Phone (505) 412-0010

Other practice location 1

1505 15th St Ste A
Los Alamos, NM 87544-3000
Phone (505) 412-0010

Other identifiers 1

IdentifierTypeStateIssuer
33470707MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20121112000263 NM Practitioner - Clinical Social Worker 1456502814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Essential Self Counseling, P.a.Group PAC ID 1456502806, 3 clinicians

Practice addresses (Care Compare)

3250 Trinity Dr
Suite C
Los Alamos, NM 87544-2226
Phone (505) 412-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-3379NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Self Counseling, P.a. Clinical CurrentSince Sep 18, 2012 Accepting new patients

Locations

1505 15th St
Ste A
Los Alamos, NM 87544
Phone (505) 412-0010

3250 Trinity Dr
Ste C
Los Alamos, NM 87544
Phone (505) 412-0010

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1285784553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 GRAND CANYON DR",
            "city": "WHITE ROCK",
            "state": "NM",
            "postal_code": "875473400",
            "telephone_number": "505-412-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 TRINITY DR STE C",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442226",
            "telephone_number": "505-412-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 15th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Los Alamos",
            "state": "NM",
            "postal_code": "875443000",
            "country_code": "US",
            "telephone_number": "505-412-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWARD",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-3379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33470707",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

Verify at the official NPI Registry.