Individual provider Active NPI

Rodney Carter Thomas, MSW

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1760638910
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1200485 Issued in OH
Practice address
2475 Collingwood Blvd
Toledo, OH 43620-1186
Phone
(419) 822-7319
Fax
(419) 590-0007
NPI assigned
Aug 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X I.1200485 OH Primary

Addresses

Primary practice location

2475 Collingwood Blvd
Toledo, OH 43620-1186

Mailing address

2475 Collingwood Blvd Ste 207
Toledo, OH 43620-1180
Phone (419) 822-7319

Other names 1

  • R Carter Thomas Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151009001091 OH Practitioner - Clinical Social Worker 1355659418 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1200485OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Good Company Christian Counseling & Life Coaching, LLC Clinical CurrentSince May 11, 2015 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 10, 2023 Accepting new patients
Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc PastSince Nov 17, 2019 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

2525 W Bancroft St
Toledo, OH 43607
Phone (419) 322-6661

2475 Collingwood Blvd
#207
Toledo, OH 43620

2475 Collingwood Blvd
Toledo, OH 43620
Phone (419) 822-7319

2475 Collingwood Blvd
Ste 207
Toledo, OH 43620
Phone (419) 822-7319

Organizations & group practices 3

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": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1760638910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 COLLINGWOOD BLVD STE 207",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201180",
            "telephone_number": "419-822-7319",
            "fax_number": "419-590-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 COLLINGWOOD BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201186",
            "telephone_number": "419-822-7319",
            "fax_number": "419-590-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RODNEY",
        "middle_name": "CARTER",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1200485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R CARTER",
            "last_name": "THOMAS",
            "credential": "LISW-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.