Deborah Hoover Thomas, LCSW, LCAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

340002639A Issued in IN

Practice address

5873 Dunes Hwy Ste B2
Portage, IN 46368-1030

Phone

(219) 508-9935

Fax

(888) 291-7776

NPI assigned

Feb 7, 2012

Last updated

Mar 30, 2018By 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 2

Addresses

Other identifiers 1

Other names 1

• Deborah Virginia Hoover Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

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.

• Northwestern Community Services Board

  • Community/Behavioral Health Agency
  • Front Royal, VA
  • NPI 1215930573

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1700158664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 PARK AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463681117",
            "telephone_number": "219-508-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5873 DUNES HWY STE B2",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463681030",
            "telephone_number": "219-508-9935",
            "fax_number": "888-291-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DEBORAH",
        "middle_name": "HOOVER",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "340002639A",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000651A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "485380017",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "HOOVER",
            "middle_name": "VIRGINIA",
            "credential": "MSW, LCSW, LCAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sonya C Tener, COTA
• Terria Conwell (ACL Medical Supply)
• The Dialysis Center of Portage LLC (Portage Dialysis Center)
• The Woman's Wellness Center, P.C.
• The Wyndmoor of Portage, LLC
• Jenna M Thomas, PA-C
• Lateyneisha Kayshon Thompson
• Simona Maria Toader, O.D.
• Bill Tolbert
• Total Renal Care Inc (Portage Dialysis)

• Clinical Social Worker in Portage, IN
• Providers in Portage, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.