Individual provider Active NPI

Virginia Elizabeth Thomas, MSW, LCSW, LICSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1851745632
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22154 Issued in FL
Practice address
10014 North Dale Mabry Highway Suite C-100
Tampa, FL 33618
Phone
(800) 239-7979
NPI assigned
Apr 19, 2016
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC200002935 DC
Clinical Social Worker 1041C0700X SW22154 FL Primary

Addresses

Primary practice location

10014 North Dale Mabry Highway Suite C-100
Tampa, FL 33618

Mailing address

725 West Shady Lane
Lakeland, FL 33803-2053
Phone (863) 272-9636

Other names 1

  • Mrs. Virginia Elizabeth Wallingford Former name

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

LicenseStateTypeSpecialty
LC200002935DCMDClinical Social Worker
SW22154FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1851745632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WEST SHADY LANE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032053",
            "telephone_number": "863-272-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10014 NORTH DALE MABRY HIGHWAY SUITE C-100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33618",
            "telephone_number": "800-239-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "VIRGINIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200002935",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "WALLINGFORD",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "MSW, LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.