Thomas M. Christian, PH.D., LCSW

Individual provider Active NPI Clinical Social Worker · Moody, TX

NPI 1548639495 · NPPES record last updated Apr 17, 2026

Key facts

NPI
1548639495
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
59731 (TX)
Practice address
15695 FM 107
Moody, TX 76557-4361
Phone
(254) 366-5342
NPI assigned
Sep 22, 2015
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190306002271 TX Practitioner - Clinical Social Worker 7719226935 Practice locations: Moody, TX; Salado, TX

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
59731TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bosque Ridge Counseling, PLLC Clinical Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 59731 TX Yes

Addresses

Primary practice location

15695 FM 107
Moody, TX 76557-4361

Mailing address

15695 FM 107
Moody, TX 76557-4361
Phone (254) 366-5342

Other providers in Moody, TX

All providers in Moody, TX · Clinical Social Worker in Texas

Sources for this page

Verify at the official NPI Registry.