Thomas Kelly Labombard, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW 60224639 Issued in WA

Practice address

9395 Linder Way NW
Suite 202
Silverdale, WA 98383-9149

Phone

(360) 434-3699

Fax

(888) 975-7504

NPI assigned

Dec 16, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tatum Counseling Services Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kuna Counseling Center

  • Community/Behavioral Health Agency
  • Kuna, ID
  • NPI 1568544047
  NPD (past)

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1861795650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 DICKEY RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839214",
            "telephone_number": "360-434-3699",
            "fax_number": "888-975-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9395 LINDER WAY NW",
            "address_2": "SUITE 202",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839149",
            "telephone_number": "360-434-3699",
            "fax_number": "888-975-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOMBARD",
        "first_name": "THOMAS",
        "middle_name": "KELLY",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60224639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATUM",
            "last_name": "SERVICES",
            "middle_name": "COUNSELING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa Kurek
• Kushner Auburn PLLC
• Adam Michael Kusic, DO
• Stephanie Dawn Kyes, PT, CLT
• Kyle McKenzie DC Inc
• Laboratory Corporation of America
• Laboratory Corporation of America
• Laboratory Corporation of America
• Katelin Lacoste
• Stephen F Lambert, PT

• Clinical Social Worker in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.