Individual provider Active NPI

Thomas George Economos, LCSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1609185453
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7468 Issued in FL
Practice address
4144 N Armenia Ave
Suite 350
Tampa, FL 33607-6400
Phone
(813) 728-7925
Fax
(813) 443-2587
NPI assigned
Sep 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X SW7468 FL
Psychoanalyst 102L00000X SW7468 FL
Clinical Social Worker 1041C0700X SW7468 FL Primary
Marriage & Family Therapist 106H00000X SW7468 FL
Case Manager/Care Coordinator 171M00000X SW7468 FL
Health Educator 174H00000X MPH FL

Addresses

Primary practice location

4144 N Armenia Ave
Suite 350
Tampa, FL 33607-6400

Mailing address

4144 N Armenia Ave
Suite 350
Tampa, FL 33607-6400
Phone (813) 728-7925

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW7468FLMDClinical Social Worker
MPHFLMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1609185453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 N ARMENIA AVE",
            "address_2": "SUITE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076400",
            "telephone_number": "813-728-7925",
            "fax_number": "813-443-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 N ARMENIA AVE",
            "address_2": "SUITE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076400",
            "telephone_number": "813-728-7925",
            "fax_number": "813-443-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECONOMOS",
        "first_name": "THOMAS",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-28",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "SW7468",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "FL",
            "license": "SW7468",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7468",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "SW7468",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "SW7468",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "FL",
            "license": "MPH",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.