Individual provider Active NPI

Delores Thomas, LCSW

  • Clinical Social Worker
  • Hampton, VA
National Provider Identifier
1871645788
Registry record updated Mar 18, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Sep 18, 2014.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005125 Issued in VA
Practice address
1613 Hardy Cash Dr
Hampton, VA 23666-2414
Phone
(757) 595-2727
Fax
(757) 595-2776
NPI assigned
Jan 18, 2007
Last updated
Mar 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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 0904005125 VA Primary
Mental Illness Community Based Residential Treatment Facility 320800000X 0904005125 VA

Addresses

Primary practice location

1613 Hardy Cash Dr
Hampton, VA 23666-2414

Mailing address

1613 Hardy Cash Dr
Hampton, VA 23666-2414
Phone (757) 595-2727

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0904005125VAMDClinical Social Worker
0904005540VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Towne Center Counseling Group Inc PastSince Aug 11, 2011 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1871645788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 HARDY CASH DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662414",
            "telephone_number": "757-595-2727",
            "fax_number": "757-595-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 HARDY CASH DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662414",
            "telephone_number": "757-595-2727",
            "fax_number": "757-595-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DELORES",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005125",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "0904005125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.