Keeley McCormack Thomas, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15536 Issued in MD

Practice address

5720 Executive Dr Ste 102
Catonsville, MD 21228-1757

Phone

(104) 780-5203

NPI assigned

Oct 3, 2006

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

Medicare fee-for-service enrollment

Enrolled in MD

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Behavioral Health, LLCGroup PAC ID 3476777947, 62 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 and National Provider Directory roles.

• Thrive Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Rosedale, MD
  • NPI 1053733378
  Medicare reassignment Care Compare group NPD
• Thrive Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Silver Spring, MD
  • NPI 1306396163
  NPD
• Key Point Health Services

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1912072737
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1700970787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 DUNMANWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212225436",
            "telephone_number": "410-282-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 EXECUTIVE DR STE 102",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281757",
            "telephone_number": "104-780-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KEELEY",
        "middle_name": "MCCORMACK",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Improving Quality of Life, LLC
• The Kindcare LLC
• The Resilient Life Counseling & Wellness Center
• The Well House Collective
• Duane Edward Thomas, PH.D.
• Kristin E Thomas, PA-C
• Pierre Nicolau Thomas, LICSW, LCSW-C, LCSW
• Sharon Kay Thomas, C.D. (DONA)
• Erica Joy Thompson, LCPC
• Jonathan Ngozi Thompson, MD

• Clinical Social Worker in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.