Becky Thomas, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0800089 Issued in OH

Practice address

1321 Apache Pass
Streetsboro, OH 44241-5333

Phone

(216) 570-1104

Fax

(330) 626-9286

NPI assigned

Aug 24, 2008

Last updated

Aug 24, 2008By the provider in NPPES

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

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH

  Medicare reassignment Care Compare group NPD
• Marie Health LLC

  dba Nora Mental Health

  • Mental Health Counselor
  • Youngstown, OH
  • NPI 1881465813
  Medicare reassignment NPD

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

{
    "created_epoch": "1219536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219536000000",
    "number": "1700033560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 APACHE PASS",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415333",
            "telephone_number": "216-570-1104",
            "fax_number": "330-626-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 APACHE PASS",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415333",
            "telephone_number": "216-570-1104",
            "fax_number": "330-626-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BECKY",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-24",
        "last_updated": "2008-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0800089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "I0800089",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John J Terlecky
• Marna Dale Terlecky
• Renesha Thakkar, DDS
• The Cleveland Clinic Foundation
• The Eye Source
• Jondra Michelle Thomas, PMHNP-BC
• Devin Timberlake, PHARMD
• Rebecca G Torres
• Ashley Toussant, FNP-BC
• Traig Mora Traylor

• Clinical Social Worker in Streetsboro, OH
• Providers in Streetsboro, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2008; 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.