Thomas A. Addis
Individual provider Active NPI Clinical Social Worker · Monroe, NC
NPI 1477848265 · NPPES record last updated Jul 30, 2014
Key facts
- NPI
- 1477848265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C009001 (NC)
- Practice address
- 1190 W. Roosevelt Blvd
Monroe, NC 28110-2818 - Phone
- (704) 296-6200
- NPI assigned
- Jun 9, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C009001 | NC | MD | Clinical Social Worker |
| P007343 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P007343 | NC | |
| Clinical Social Worker | 1041C0700X | C009001 | NC | Yes |
Addresses
Primary practice location
1190 W. Roosevelt Blvd
Monroe, NC 28110-2818
Mailing address
284 Executive Park Dr
Ste 100
Concord, NC 28025-1894
Phone (704) 939-1100
Other providers in Monroe, NC
- Amy Adams
- Hannah Nicole Adams
- Wava Raye Adams
- Adamu Salisu, MD PLLC
- Jordan Faye Adcock
- Kiran Adlakha
- Advanced Transport Solutions, LLC
- Affirmations and Alpacas Counseling LLC
- Agape Child Placement Agency Inc.
- Agape I
All providers in Monroe, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.