Individual provider Active NPI

Abraham P. Thomas, LCSW

  • Clinical Social Worker
  • Astoria, NY
National Provider Identifier
1326375775
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R045925 Issued in NY
Practice address
2534 Steinway St
Astoria, NY 11103-3702
Phone
(718) 777-5243
Fax
(718) 777-5250
NPI assigned
Nov 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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 R045925 NY Primary

Addresses

Primary practice location

2534 Steinway St
Astoria, NY 11103-3702

Mailing address

3 Leah LN
Plainview, NY 11803-6217
Phone (516) 390-4469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190108001909 NY Order and Referring Only - Clinical Social Worker 2163546144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R045925NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Welllife Network Inc Past Accepting new patients
Welllife Network Inc. Past Accepting new patients
Woodhull Hospital Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1326375775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LEAH LN",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118036217",
            "telephone_number": "516-390-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033702",
            "telephone_number": "718-777-5243",
            "fax_number": "718-777-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ABRAHAM",
        "middle_name": "P.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R045925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.