Individual provider Active NPI

Lynda T Thoms, M.S.,L.S.W.

  • Clinical Social Worker
  • Hattiesburg, MS
National Provider Identifier
1780880625
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
W1150 Issued in MS
Practice address
140 Mayfair Rd Ste 300
Hattiesburg, MS 39402-1699
Phone
(601) 296-2126
Fax
(601) 602-3296
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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 W1150 MS Primary

Addresses

Primary practice location

140 Mayfair Rd Ste 300
Hattiesburg, MS 39402-1699

Mailing address

140 Mayfair Rd Ste 300
Hattiesburg, MS 39402-1699
Phone (601) 296-2126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
W1150MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Willoughby, PHD, LLC PastSince Nov 3, 2024 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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1780880625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MAYFAIR RD STE 300",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021699",
            "telephone_number": "601-296-2126",
            "fax_number": "601-602-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAYFAIR RD STE 300",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021699",
            "telephone_number": "601-296-2126",
            "fax_number": "601-602-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMS",
        "first_name": "LYNDA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "M.S.,L.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "W1150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.