Active NPI
Tomario C Stamps I, MSW
- Clinical Social Worker
- Belleville, IL
National Provider Identifier
1780407163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.028611
- Practice address
- 200 Columbus Dr
Belleville, IL 62226-6042 - Phone
- (601) 899-2117
- NPI assigned
- Nov 5, 2024
- Last updated
- Jan 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.028611 | IL | Primary |
Addresses
Primary practice location
200 Columbus Dr
Belleville, IL 62226-6042
Mailing address
200 Columbus Dr
Belleville, IL 62226-6042
Phone (601) 899-2117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7877 Willow Chase Blvd
Houston, TX 77070-5934
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.028611 | IL | MD | Clinical Social Worker |
Organizations & group practices 2
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.
-
dba Psychplus Associates
- Psychiatry Physician
- Houston, TX
- NPI 1013476027
IL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1780407163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 COLUMBUS DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622266042",
"telephone_number": "601-899-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 COLUMBUS DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622266042",
"telephone_number": "601-899-2117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMPS",
"first_name": "TOMARIO",
"middle_name": "C",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-05",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.028611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.