Active NPI
Erica Thomas
- Clinical Social Worker
- Liberty Hill, TX
National Provider Identifier
1811369986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 39835
- Practice address
- 14001 W State Highway 29 Ste 201
Liberty Hill, TX 78642-2251 - Phone
- (915) 861-7280
- NPI assigned
- Oct 28, 2015
- Sex
- Female
- 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 | 39835 | TX | Primary |
Addresses
Primary practice location
14001 W State Highway 29 Ste 201
Liberty Hill, TX 78642-2251
Mailing address
14001 W State Highway 29 Ste 201
Liberty Hill, TX 78642-2251
Phone (915) 861-7280
Other practice location 1
2120 N Mays St Ste 430
Round Rock, TX 78664-2108
Phone (877) 800-5722
Other practice location 2
802 Avenue J
Marble Falls, TX 78654-5125
Phone (830) 265-4009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3627085-02 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39835 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1811369986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14001 W STATE HIGHWAY 29 STE 201",
"city": "LIBERTY HILL",
"state": "TX",
"postal_code": "786422251",
"telephone_number": "915-861-7280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 W STATE HIGHWAY 29 STE 201",
"city": "LIBERTY HILL",
"state": "TX",
"postal_code": "786422251",
"telephone_number": "915-861-7280"
}
],
"practiceLocations": [
{
"address_1": "2120 N Mays St Ste 430",
"address_purpose": "LOCATION",
"city": "Round Rock",
"state": "TX",
"postal_code": "786642108",
"country_code": "US",
"telephone_number": "877-800-5722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "802 Avenue J",
"address_purpose": "LOCATION",
"city": "Marble Falls",
"state": "TX",
"postal_code": "786545125",
"country_code": "US",
"telephone_number": "830-265-4009",
"fax_number": "830-693-2481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "ERICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-28",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "39835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3627085-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liberty Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.