Individual provider Active NPI

Molly Elizabeth Thomas, LISW-S

  • Clinical Social Worker
  • Lancaster, OH
National Provider Identifier
1780022558
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1502452-SUPV Issued in OH
Practice address
220 E Walnut St
Lancaster, OH 43130-4464
Phone
(740) 277-6043
NPI assigned
Jun 13, 2013
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S.1201204 OH
Clinical Social Worker 1041C0700X I.1502452-SUPV OH Primary

Addresses

Primary practice location

220 E Walnut St
Lancaster, OH 43130-4464

Mailing address

220 E Walnut St
Lancaster, OH 43130-4464
Phone (740) 689-6758

Other practice location 1

1155 E Main St
Lancaster, OH 43130-4056
Phone (740) 689-6758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20160104000388 OH Practitioner - Clinical Social Worker 6507168879 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1502452-SUPVOHMDClinical Social Worker
S.1201204OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Community Health Center CurrentSince Dec 31, 2015 Accepting new patients
Fairfield Community Health Center CurrentSince Dec 31, 2015 Accepting new patients
Fairfield Community Health Center Past Accepting new patients

Locations

1155 E Main St
Lancaster, OH 43130
Phone (740) 277-6043

220 E Walnut St
Lancaster, OH 43130
Phone (740) 277-6043

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1780022558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E WALNUT ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304464",
            "telephone_number": "740-689-6758",
            "fax_number": "740-689-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E WALNUT ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304464",
            "telephone_number": "740-277-6043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 E Main St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431304056",
            "country_code": "US",
            "telephone_number": "740-689-6758",
            "fax_number": "740-689-6759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MOLLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1201204",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1502452-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.