Individual provider Active NPI

Thomas M Worthley, LCSW

  • Clinical Social Worker
  • Cleburne, TX
National Provider Identifier
1750688776
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
51535 Issued in TX
Practice address
121 Prairie Ave Ste C
Cleburne, TX 76033-5385
Phone
(817) 666-3068
Fax
(817) 666-3068
NPI assigned
Feb 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 51535 TX Primary

Addresses

Primary practice location

121 Prairie Ave Ste C
Cleburne, TX 76033-5385

Mailing address

121 Prairie Ave Ste C
Cleburne, TX 76033-5385
Phone (817) 666-3068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20120301000139 TX Practitioner - Clinical Social Worker 5193983658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Baylor College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 Prairie Ave
Suite C
Cleburne, TX 76033-5385
Phone (817) 666-3068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Restored Counseling Center LLC Clinical CurrentSince Aug 16, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1750688776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PRAIRIE AVE STE C",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335385",
            "telephone_number": "817-666-3068",
            "fax_number": "817-666-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PRAIRIE AVE STE C",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335385",
            "telephone_number": "817-666-3068",
            "fax_number": "817-666-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHLEY",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-28",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.