Individual provider Active NPI

James Thomas, LCSW

  • Clinical Social Worker
  • Penn Valley, CA
National Provider Identifier
1437602273
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
91913 Issued in CA
Practice address
11833 Goldfinch CT
Penn Valley, CA 95946-9647
Phone
(704) 280-9806
NPI assigned
Jul 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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 91913 CA Primary

Addresses

Primary practice location

11833 Goldfinch CT
Penn Valley, CA 95946-9647

Mailing address

11833 Goldfinch CT
Penn Valley, CA 95946-9647
Phone (704) 280-9806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190729002443 NC Practitioner - Clinical Social Worker 7214263276 Reassigns benefits to 1 organization
I20191221000587 CA Practitioner - Clinical Social Worker 7214263276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newstart Medical Group IncGroup PAC ID 8628299799, 22 clinicians

Practice addresses (Care Compare)

11440 Pleasant Valley Rd
Suite C
Penn Valley, CA 95946-9175
Phone (530) 451-6590

20601 W Paoli LN
Weimar, CA 95736-0486
Phone (530) 637-4025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Health Services Inc Current Accepting new patients
A Brighter Today Clinical CurrentSince Apr 1, 2024 Accepting new patients
Rha Health Services, Inc CurrentSince May 21, 2019 Accepting new patients
Rha Health Services, Inc. CurrentSince May 21, 2019 Accepting new patients
Newstart Medical Group Inc CurrentSince Sep 23, 2019 Accepting new patients
Rha Health Services Addiction (Substance Use Disorder) Past Accepting new patients

Locations

11440 Pleasant Valley Rd
Ste C
Penn Valley, CA 95946
Phone (530) 451-6590

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Ste 200
Asheville, NC 28801
Phone (828) 228-7512

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

Interoperability endpoints

  • Direct secure messaging: james.thomas.1@11511.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1437602273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11833 GOLDFINCH CT",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959469647",
            "telephone_number": "704-280-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11833 GOLDFINCH CT",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959469647",
            "telephone_number": "704-280-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Valley, CA

Sources for this page

Verify at the official NPI Registry.