Organization Active NPI

Thomas E. McDaniel, LCSW Inc.

  • Clinical Social Worker
  • Statesville, NC
National Provider Identifier
1750333852
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003601 Issued in NC
Legal business name
THOMAS E. MCDANIEL, LCSW INC.
Practice address
276 Old Mocksville Rd
Suite 100
Statesville, NC 28625-1949
Phone
(704) 929-8712
Fax
(704) 883-8661
NPI assigned
May 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas Everett McDaniel, LCSWNPI 1285612713
Title
President Owner
Phone
(704) 929-8712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C003601 NC Primary

Addresses

Primary practice location

276 Old Mocksville Rd
Suite 100
Statesville, NC 28625-1949

Mailing address

PO Box 2307
Morganton, NC 28680-2307
Phone (704) 929-8712

Other identifiers 8

IdentifierTypeStateIssuer
2047394OtherCIGNA BHAVIORAL HLTH
94892OtherMEDCOST
253003OtherCOMPSYCH
112075OtherUNITED BHAVIORAL HLTHCARE
126C0OtherNCBLUE CROSS BLUE SHIELD NC
1952OtherCBHA
358961OtherTRICARE
GRP 358961 PIN366949OtherMANAGE HLTH NETWORK

National Provider Directory

National Provider Directory

Locations

333 2nd St NW
Hickory, NC 28601
Phone (704) 929-8712

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750333852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2307",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286802307",
            "telephone_number": "704-929-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 OLD MOCKSVILLE RD",
            "address_2": "SUITE 100",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251949",
            "telephone_number": "704-929-8712",
            "fax_number": "704-883-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E. MCDANIEL, LCSW INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "704-929-8712",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BHAVIORAL HLTH",
            "identifier": "2047394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "94892",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "253003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BHAVIORAL HLTHCARE",
            "identifier": "112075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "126C0",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBHA",
            "identifier": "1952",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "358961",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGE HLTH NETWORK",
            "identifier": "GRP 358961 PIN366949",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.