Individual provider Active NPI

Nakissa Thomas, LMSW

  • Social Worker
  • Dallas, TX
National Provider Identifier
1316601636
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
38981 Issued in TX
Practice address
11910 Greenville Ave Ste 511
Dallas, TX 75243-9388
Phone
(214) 937-9180
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 38981 TX Primary

Addresses

Primary practice location

11910 Greenville Ave Ste 511
Dallas, TX 75243-9388

Mailing address

11910 Greenville Ave Ste 511
Dallas, TX 75243-9388
Phone (214) 937-9180

Other practice location 1

1228 Monica Dr
Allen, TX 75013-3351
Phone (214) 498-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221010002819 TX Practitioner - Clinical Social Worker 6800272147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11910 Greenville Ave
Suite 511
Dallas, TX 75243-9388
Phone (214) 937-9180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38981TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Mental Health, PLLC CurrentSince Sep 1, 2022 Accepting new patients
Onward Therapy & Wellness PLLC Social Worker CurrentSince Sep 1, 2022 Accepting new patients

Locations

11910 Greenville Ave
Ste 511
Dallas, TX 75243
Phone (214) 937-9180

Organizations & group practices 2

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": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1316601636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 GREENVILLE AVE STE 511",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439388",
            "telephone_number": "214-937-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11910 GREENVILLE AVE STE 511",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439388",
            "telephone_number": "214-937-9180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1228 Monica Dr",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750133351",
            "country_code": "US",
            "telephone_number": "214-498-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NAKISSA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "38981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.