Individual provider Active NPI

Erica Thomas

  • Clinical Social Worker
  • Liberty Hill, TX
National Provider Identifier
1811369986
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
39835 Issued in TX
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

Updated by the provider on Mar 23, 2020

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 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

IdentifierTypeStateIssuer
3627085-02MedicaidTX

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

LicenseStateTypeSpecialty
39835TXMDPharmacist

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.

Verify at the official NPI Registry.