Active NPI
Gregg R Thoman, LMSW, CASAC
- Social Worker
- Rome, NY
National Provider Identifier
1811062011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 045141
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8911 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 045141 | NY | MD | Social 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.