Active NPI
Thomas Vail, LPCMH
- Social Worker
- Wilmington, DE
National Provider Identifier
1558499830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- PC-0000224
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC-0000224 | DE | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norman Broudy | Social Worker | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.