Individual provider Active NPI

Gregg R Thoman, LMSW, CASAC

  • Social Worker
  • Rome, NY
National Provider Identifier
1811062011
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
045141 Issued in NY
Practice address
264 W Dominick St
Rome, NY 13440-5812
Phone
(315) 334-4701
Fax
(315) 334-4267
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 8911 NY
Social Worker 104100000X 045141 NY Primary

Addresses

Primary practice location

264 W Dominick St
Rome, NY 13440-5812

Mailing address

124 Pebble Creek LN
New Hartford, NY 13413-3518

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

State licenses

LicenseStateTypeSpecialty
8911NYMDAddiction (Substance Use Disorder) Counselor
045141NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1811062011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PEBBLE CREEK LN",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134133518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 W DOMINICK ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405812",
            "telephone_number": "315-334-4701",
            "fax_number": "315-334-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAN",
        "first_name": "GREGG",
        "middle_name": "R",
        "credential": "LMSW, CASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "8911",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "045141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.