Active NPI
Tasha M Thomas, LSW
- Social Worker
- Blue Bell, PA
National Provider Identifier
1356547004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW 125807
- Practice address
- 1777 Sentry Pkwy W
Suite 210
Blue Bell, PA 19422-2207 - Phone
- (610) 254-9001
- Fax
- (610) 254-8916
- NPI assigned
- Jun 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW 125807 | PA | Primary |
Addresses
Primary practice location
1777 Sentry Pkwy W
Suite 210
Blue Bell, PA 19422-2207
Mailing address
7903 Anselm Rd
Elkins Park, PA 19027-1107
Phone (215) 635-6953
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 125807 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356547004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7903 ANSELM RD",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271107",
"telephone_number": "215-635-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 SENTRY PKWY W",
"address_2": "SUITE 210",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194222207",
"telephone_number": "610-254-9001",
"fax_number": "610-254-8916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "TASHA",
"middle_name": "M",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW 125807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Bell, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.