Tiffany Davee Smith Thomas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C019306 Issued in NC

Practice address

PO Box 11052
Winston Salem, NC 27116-1052

Phone

(336) 422-7949

Fax

(336) 753-3695

NPI assigned

Jul 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tiffany Thomas Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1619585049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11052",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271161052",
            "telephone_number": "336-422-7949",
            "fax_number": "336-753-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 11052",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271161052",
            "telephone_number": "336-422-7949",
            "fax_number": "336-753-3695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3410 Healy Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031403",
            "country_code": "US",
            "telephone_number": "336-422-7949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TIFFANY",
        "middle_name": "DAVEE SMITH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C019306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "THOMAS",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sarah Thomas, CNP
• Seena Thomas
• Stacy W Thomas, MD
• Stafford Thomas, DMD
• Sydney Meng Thomas
• Weston Clay Thomas, PHYSICIAN ASSISTANT
• Caroline Ashley Thomason, RDN
• Jason William White Thomason, MD
• Kandace Woodard Thomason, CRNA
• Robert Bradley Thomason III, M.D.

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.

Verify at the official NPI Registry.