Individual provider Active NPI

Thomas M. Layte, LCSW

  • Clinical Social Worker
  • Banning, CA
National Provider Identifier
1417935776
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS16611 Issued in CA
Practice address
3094 W Ramsey St
Banning, CA 92220-3724
Phone
(951) 849-0145
Fax
(951) 849-9207
NPI assigned
Jan 6, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 LCS16611 CA Primary

Addresses

Primary practice location

3094 W Ramsey St
Banning, CA 92220-3724

Mailing address

3094 W Ramsey St
Banning, CA 92220-3724
Phone (951) 849-0145

Other identifiers 1

IdentifierTypeStateIssuer
CSW166110MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050330001275 CA Practitioner - Clinical Social Worker 5193772382 Practice locations: Banning, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3094 W Ramsey St
Banning, CA 92220-3724
Phone (951) 849-0145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS16611CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417935776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3094 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203724",
            "telephone_number": "951-849-0145",
            "fax_number": "951-849-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203724",
            "telephone_number": "951-849-0145",
            "fax_number": "951-849-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYTE",
        "first_name": "THOMAS",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CSW166110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Banning, CA

Sources for this page

Verify at the official NPI Registry.