Thomas McCready, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111207 Issued in CA

Practice address

2988 Black Hawk LN
Lincoln, CA 95648-7715

Phone

(916) 521-9211

NPI assigned

Nov 25, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  NPD

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734134400000",
    "number": "1538985486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2988 BLACK HAWK LN",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956487715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2988 BLACK HAWK LN",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956487715",
            "telephone_number": "916-521-9211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3468 J St Apt D",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958164536",
            "country_code": "US",
            "telephone_number": "916-521-9211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCREADY",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "111207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey B Martin, DDS
• Veronica Martinez
• Kris W Martinson, D.D.S.
• Riyaz Sadruddin Masani, MCS, MBA, LVN
• Nancy Evelyn McAtee, PT
• Laura Catherine McCuan, MAMFT
• Randall D McGuire, P.T.
• Andrea L McKinney, M.S.ED
• Cheryl Anne McMillen, PEER SUPPORT SPECIAL
• Eli P Mead, DPT

• Clinical Social Worker in Lincoln, CA
• Providers in Lincoln, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2024; 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.