Active NPI
Thomas James Lane
- Clinical Social Worker
- Cooperstown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090358
- Practice address
- 1 Atwell Rd
Cooperstown, NY 13326 - Phone
- (607) 547-3456
- NPI assigned
- Sep 12, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 61498 | TX | |
| Clinical Social Worker | 1041C0700X | 090358 | NY | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13915 | TX |
Addresses
Primary practice location
1 Atwell Rd
Cooperstown, NY 13326
Mailing address
1 Atwell Rd
1 Atwell Rd, NY 13326
Phone (607) 547-3480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, AL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480
1430 Gadsden Hwy
Suite 116 917
Birmingham, AL 35235-3103
Phone (415) 360-3348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090358 | NY | MD | Clinical Social Worker |
| 61498 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Health, Inc. | Current | Accepting new patients | |
| Southside Behavioral Health | Clinical | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients |
Locations
1430 Gadsden Hwy
Ste 116917
Birmingham, AL 35235
Phone (208) 623-9050
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
130 North St
Walton, NY 13856
Phone (607) 865-6541
3804 Wilson Blvd
#1318
Arlington, VA 22203
424 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-2936
823 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 447-7601
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Community/Behavioral Health Agency
- Clarksville, VA
- NPI 1700890761
Clinical
-
- Specialty Pharmacy
- Oneonta, NY
- NPI 1174419196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1366961369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ATWELL RD",
"city": "1 ATWELL RD",
"state": "NY",
"postal_code": "13326",
"telephone_number": "607-547-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ATWELL RD",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "13326",
"telephone_number": "607-547-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "THOMAS",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-12",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "61498",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "090358",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "13915",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cooperstown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.