Active NPI
Marion Thomas, LCSW-BACS, ACSW
- Clinical Social Worker
- Baker, LA
National Provider Identifier
1811285463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1403
- Practice address
- 13305 Ector Dr
Baker, LA 70714-4653 - Phone
- (225) 775-0003
- NPI assigned
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 1403 | LA | |
| Clinical Social Worker | 1041C0700X | 1403 | LA | Primary |
Addresses
Primary practice location
13305 Ector Dr
Baker, LA 70714-4653
Mailing address
13305 Ector Dr
Baker, LA 70714-4653
Phone (225) 775-0003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1621765 | Medicaid | LA |
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 |
|---|---|---|---|
| 1403 | LA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1811285463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13305 ECTOR DR",
"city": "BAKER",
"state": "LA",
"postal_code": "707144653",
"telephone_number": "225-775-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13305 ECTOR DR",
"city": "BAKER",
"state": "LA",
"postal_code": "707144653",
"telephone_number": "225-775-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MARION",
"credential": "LCSW-BACS, ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "LA",
"license": "1403",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "1403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1621765",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baker, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.