Tiffany Thomas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009097 Issued in NC

Practice address

145 Scaleybark Rd Ste B
Charlotte, NC 28209-2682

Phone

(704) 621-1930

NPI assigned

Dec 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tiffany Washington Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tiffany.thomas.1@27775.direct.athenahealth.com

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.

• Cabarrus Rowan Community Health Centers, Inc.

  dba APHS - McGill Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Concord, NC
  • NPI 1396782710
  Medicare reassignment NPD
• Cabarrus Rowan Community Health Centers, Inc.

  dba Aphs - Salisbury Health Center

  • Federally Qualified Health Center (FQHC)
  • Salisbury, NC
  • NPI 1336780576
  NPD
• Cabarrus Rowan Community Health Centers, Inc.

  dba APHS-China Grove Family Medicine

  • Federally Qualified Health Center (FQHC)
  • China Grove, NC
  • NPI 1528304235
  NPD

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1477898062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202D MCGILL AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254615",
            "telephone_number": "704-792-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SCALEYBARK RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092682",
            "telephone_number": "704-621-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TIFFANY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009097",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WASHINGTON",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherill S Thomas
• Tamara Thomas
• Tanecia Lynn Thomas, BCBA
• Tashima Thomas, LCSW-C
• Thomie Shea Thomas, PHARMD
• Travis Lynell Thomas, DMD
• Tyler Thomas, OD
• Victoria Thomas
• Whitney Thomas
• William Graham Thomas Jr.

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.