Active NPI
Brandon J. Thomas, LMSW
- Social Worker
- Meridian, ID
National Provider Identifier
1699335679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-37813
- Practice address
- 3071 E Franklin Rd Ste 201
Meridian, ID 83642-2376 - Phone
- (208) 807-2877
- Fax
- (208) 807-2888
- NPI assigned
- Jun 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-37813 | ID | Primary |
Addresses
Primary practice location
3071 E Franklin Rd Ste 201
Meridian, ID 83642-2376
Mailing address
3071 E Franklin Rd Ste 201
Meridian, ID 83642-2376
Phone (208) 807-2877
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-37813 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Behavioral Health Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Boise, ID
- NPI 1487700589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1699335679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3071 E FRANKLIN RD STE 201",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422376",
"telephone_number": "208-807-2877",
"fax_number": "208-807-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3071 E FRANKLIN RD STE 201",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422376",
"telephone_number": "208-807-2877",
"fax_number": "208-807-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "BRANDON",
"middle_name": "J.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-20",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-37813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.