Individual provider Active NPI

Thomas Vail, LPCMH

  • Social Worker
  • Wilmington, DE
National Provider Identifier
1558499830
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
PC-0000224 Issued in DE
Practice address
825 N Washington St
Wilmington, DE 19801-1509
Phone
(302) 655-7110
Fax
(302) 655-6185
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PC-0000224 DE Primary

Addresses

Primary practice location

825 N Washington St
Wilmington, DE 19801-1509

Mailing address

406 Summit LN
Middletown, DE 19709-8831
Phone (302) 378-8639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20260121001980 DE Practitioner - Mental Health Counselor 2466939426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3114 Big Shanty TRL
Marietta, GA 30066-3318

825 N Washington St
Wilmington, DE 19801-1509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC-0000224DEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Broudy Social Worker CurrentSince Dec 12, 2025 Accepting new patients

Locations

827 N Washington St
Wilmington, DE 19801
Phone (302) 655-7110

825 N Washington St
Wilmington, DE 19801
Phone (302) 655-7110

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558499830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SUMMIT LN",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098831",
            "telephone_number": "302-378-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N WASHINGTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011509",
            "telephone_number": "302-655-7110",
            "fax_number": "302-655-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIL",
        "first_name": "THOMAS",
        "credential": "LPCMH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DE",
            "license": "PC-0000224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.