Susan L Thomas, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

005533 Issued in CT

Practice address

440 N Main St
Bristol, CT 06010-1902

Phone

(860) 583-5858

Fax

(860) 584-9962

NPI assigned

Jan 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1669610747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1280",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060111280",
            "telephone_number": "860-585-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N MAIN ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060101902",
            "telephone_number": "860-583-5858",
            "fax_number": "860-584-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "005533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Greater Bristol Visiting Nurse Association Inc
• The Hope Clinic, LLC
• The Hope Clinic, LLC
• The Pediatric Care Center LLC
• The Pediatric Care Center, LLC
• Jordan Thompkins
• Ann Thompson, PHARMD
• Corrie Ann Thompson, PSYD
• Merissa Thompson, LPC
• Tiffany Thompson, LCSW

• Social Worker in Bristol, CT
• Providers in Bristol, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.