Active NPI
Sierra Latoya Thomas, MSW, LSW
- Social Worker
- Dayton, OH
National Provider Identifier
1407349160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2106505
- Practice address
- 4100 W 3Rd St
Dayton, OH 45428-9000 - Phone
- (937) 268-6511
- NPI assigned
- Jun 7, 2018
- Last updated
- Nov 3, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | S.2106505 | OH | Primary |
Addresses
Primary practice location
4100 W 3Rd St
Dayton, OH 45428-9000
Mailing address
1166 E Dayton Yellow Springs Rd # 139
Fairborn, OH 45324-6324
Phone (216) 294-7190
Other practice location 1
2383 Duncan Dr Apt 4
Fairborn, OH 45324-2049
Phone (216) 294-7190
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SierraLThomas@SpecificallyAnointed.com | Direct |
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 |
|---|---|---|---|
| S.2106505 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Works Holding Company LLC | Past | Accepting new patients | |
| Recovery Works Holding Company LLC | Past | Accepting new patients | |
| Positive Education Program | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pepcleve/r4/
- https://api.qualifacts.org/api/fhir/recoveryworkshealingcenter/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Cleveland, OH
- NPI 1528035631
-
dba Recovery Works Healing Center LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Dayton, OH
- NPI 1376910505
-
dba Recovery Works Healing Center LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dayton, OH
- NPI 1801316971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1407349160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 E DAYTON YELLOW SPRINGS RD # 139",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453246324",
"telephone_number": "216-294-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 W 3RD ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454289000",
"telephone_number": "937-268-6511"
}
],
"practiceLocations": [
{
"address_1": "2383 Duncan Dr Apt 4",
"address_purpose": "LOCATION",
"city": "Fairborn",
"state": "OH",
"postal_code": "453242049",
"country_code": "US",
"telephone_number": "216-294-7190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "SIERRA",
"middle_name": "LATOYA",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "OH",
"license": "S.2106505",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SierraLThomas@SpecificallyAnointed.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PHI",
"address_1": "2383 Duncan Dr Apt 4",
"city": "Fairborn",
"state": "OH",
"country_code": "US",
"postal_code": "453242049",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.