Nicholas Thielmann, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801099392 Issued in MI

Practice address

1613 M 139
Benton Harbor, MI 49022-5748

Phone

(269) 934-3460

NPI assigned

Aug 2, 2016

Last updated

Aug 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1679026124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 M 139",
            "address_2": "P.O. BOX 547",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490225711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 M 139",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490225748",
            "telephone_number": "269-934-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELMANN",
        "first_name": "NICHOLAS",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801099392",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Avenue Family Network, Inc.
• The Center for Growth and Independence
• The Neon Movement Wellness Center LLC
• The Samaritan Counseling Center of Southwestern Michigan (Centered on Wellness)
• The Samaritan Counseling Center of Southwestern Michigan (Centered on Wellness)
• Edson U Thomas, MSW
• Lavonda Thomas
• Michelle L. Thomas, MS
• Nicholaus Thomas
• Tiffany Thomas, LPN

• Social Worker in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.