Active NPI
Laura L Thomas, MSW, LAC
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1891904918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 706
- Practice address
- 119 W Kent Ave
Suite J
Missoula, MT 59801-6730 - Phone
- (406) 728-5224
- Fax
- (406) 728-5224
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 706 | MT | Primary |
Addresses
Primary practice location
119 W Kent Ave
Suite J
Missoula, MT 59801-6730
Mailing address
PO Box 3364
Missoula, MT 59806-3364
Phone (406) 728-5224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0503984 | Medicaid | MT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 706 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891904918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3364",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598063364",
"telephone_number": "406-728-5224",
"fax_number": "406-728-5224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W KENT AVE",
"address_2": "SUITE J",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016730",
"telephone_number": "406-728-5224",
"fax_number": "406-728-5224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "LAURA",
"middle_name": "L",
"credential": "MSW, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "LCSW 706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0503984",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.