Active NPI
Thomas Francis Tumicki Jr., LCSW-C
- Social Worker
- Takoma Park, MD
National Provider Identifier
1306899083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12488
- Practice address
- 7030 Carroll Ave
Suite 200
Takoma Park, MD 20912-4430 - Phone
- (301) 270-7808
- Fax
- (301) 270-3020
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12488 | MD | Primary |
| Social Worker | 104100000X | LG1000397 | DC |
Addresses
Primary practice location
7030 Carroll Ave
Suite 200
Takoma Park, MD 20912-4430
Mailing address
7030 Carroll Ave
Suite 200
Takoma Park, MD 20912-4430
Phone (301) 270-7808
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0023 | Other | FED BCBS | |
| 64405103 | Other | MD | CAREFIRST BC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG1000397 | DC | MD | Social Worker |
| 12488 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Sante Group | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Silver Spring, MD
- NPI 1083720569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1306899083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7030 CARROLL AVE",
"address_2": "SUITE 200",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124430",
"telephone_number": "301-270-7808",
"fax_number": "301-270-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7030 CARROLL AVE",
"address_2": "SUITE 200",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124430",
"telephone_number": "301-270-7808",
"fax_number": "301-270-3020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMICKI",
"first_name": "THOMAS",
"middle_name": "FRANCIS",
"name_suffix": "Jr.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "12488",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG1000397",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED BCBS",
"identifier": "0023",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC",
"identifier": "64405103",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.