Thomas Jeffery Lane, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007162 Issued in IA

Practice address

1221 Center Point Rd NE
Cedar Rapids, IA 52402-6571

Phone

(319) 378-1199

Fax

(319) 378-7497

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1821176744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 CENTER POINT RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026571",
            "telephone_number": "319-378-1199",
            "fax_number": "319-378-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 CENTER POINT RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026571",
            "telephone_number": "319-378-1199",
            "fax_number": "319-378-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "THOMAS",
        "middle_name": "JEFFERY",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009107",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11867195",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lan Silver Pines LLC
• Matthew John Landherr, M.D.
• Joseph Landon, DPT
• Stacie Lane-O'Brien, B.C.B.A.
• Sydni Elizabeth Lane
• Ciarra Alexandria Lang
• Rachel Marie Lang
• Amanda Michelle Langager, M.D.
• Todd T Langager, MD
• Lange Orthopaedics PC

• Clinical Social Worker in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.