Individual provider Active NPI

Kenyal Danya Thomas, LICSW

  • Clinical Social Worker
  • Millbrook, AL
National Provider Identifier
1295458842
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5135 Issued in AL
Practice address
260 Bishop Dr
Millbrook, AL 36054-3356
Phone
(251) 554-0062
NPI assigned
Sep 20, 2022
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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 5135 AL Primary

Addresses

Primary practice location

260 Bishop Dr
Millbrook, AL 36054-3356

Mailing address

260 Bishop Dr
Millbrook, AL 36054-3356

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kenyalthomas.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230111003210 AL Practitioner - Clinical Social Worker 2264802099 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5135ALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Health Center Inc CurrentSince Nov 28, 2022 Accepting new patients
Christ Health Center Inc CurrentSince Nov 28, 2022 Accepting new patients
Christ Health Center Inc Current Accepting new patients

Locations

5720 1st Ave S
Birmingham, AL 35212
Phone (205) 380-9455

5804 1st Ave S
Birmingham, AL 35212
Phone (205) 380-9450

2152 Old Springville Rd
Center Point, AL 35215
Phone (205) 838-6000

Organizations & group practices 3

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1295458842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BISHOP DR",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360543356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BISHOP DR",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360543356",
            "telephone_number": "251-554-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KENYAL",
        "middle_name": "DANYA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kenyalthomas.com",
            "affiliation": "N",
            "address_1": "260 Bishop Dr",
            "city": "Millbrook",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360543356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Millbrook, AL

Sources for this page

Verify at the official NPI Registry.