Active NPI
Patrick Thomas, LMSW
- Clinical Social Worker
- Tempe, AZ
National Provider Identifier
1558932228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW-17070
- Practice address
- 5025 S Ash Ave Ste 12
Tempe, AZ 85282-6885 - Phone
- (665) 792-0298
- NPI assigned
- Jul 5, 2021
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LMSW-17070 | AR | Primary |
Addresses
Primary practice location
5025 S Ash Ave Ste 12
Tempe, AZ 85282-6885
Mailing address
8805 W Van Buren St
Tolleson, AZ 85353-5100
Phone (602) 918-4778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15183399 | Other | AZ | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-17070 | AR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625443200000",
"number": "1558932228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8805 W VAN BUREN ST",
"city": "TOLLESON",
"state": "AZ",
"postal_code": "853535100",
"telephone_number": "602-918-4778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 S ASH AVE STE 12",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852826885",
"telephone_number": "665-792-0298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "PATRICK",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-05",
"last_updated": "2021-07-05",
"certification_date": "2021-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "LMSW-17070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "15183399",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.