Individual provider Active NPI

Labrenda Thomas

  • Social Worker
  • Cordova, TN
National Provider Identifier
1477786234
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
163 Scarborough LN
#103
Cordova, TN 38018-4859
Phone
(501) 837-4526
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

163 Scarborough LN
#103
Cordova, TN 38018-4859

Mailing address

163 Scarborough LN
#103
Cordova, TN 38018-4859
Phone (501) 837-4526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20161109001228 TN Practitioner - Clinical Social Worker 5991084212 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Star Mental Health CurrentSince Feb 1, 2025 Accepting new patients
Empowerment Counseling and Consulting, LLC CurrentSince Apr 24, 2024 Accepting new patients

Locations

293 S Walnut Bend Rd
Ste 101
Cordova, TN 38018
Phone (901) 206-5604

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1477786234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 SCARBOROUGH LN",
            "address_2": "#103",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184859",
            "telephone_number": "501-837-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 SCARBOROUGH LN",
            "address_2": "#103",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184859",
            "telephone_number": "501-837-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LABRENDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.