Lisa V Thomas, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R050977 Issued in NY

Practice address

East Main St.
Canton, NY 13617-0106

Phone

(315) 347-2029

NPI assigned

Nov 1, 2005

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1639160484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136170106",
            "telephone_number": "315-347-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EAST MAIN ST.",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136170106",
            "telephone_number": "315-347-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LISA",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-01",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R050977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02717348",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Manuel Tejera, M.D.
• Barbara L Teriele, LPN
• Kathleen M Terrence, M.D.
• The Golub Corporation
• The Penn Traffic Company
• Lars David Thompson, MD
• Christine R Thrasher, NP
• Taylor Tischler
• Patricia Ann Todd, ANP
• Richard Dany Tombler, MD

• Clinical Social Worker in Canton, NY
• Providers in Canton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.