Mary Linda Thomas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 25123 Issued in ID

Practice address

524 Cleveland Blvd Ste 230
Caldwell, ID 83605-4080

Phone

(208) 454-8107

Fax

(208) 455-9590

NPI assigned

Apr 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1902122633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 CLEVELAND BLVD STE 230",
            "address_2": "P.O. BOX 41",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054080",
            "telephone_number": "208-454-8107",
            "fax_number": "208-455-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 CLEVELAND BLVD STE 230",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054080",
            "telephone_number": "208-454-8107",
            "fax_number": "208-455-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARY",
        "middle_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW 25123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Slade Thacker, APRN CFNP
• The Therapist Edge PLLC
• Cheryl Renee Thibault, F.N.P.C
• Thomas Jefferson Charter School
• David E Thomas, DDS, PA
• Jeffrey A Thomason, PT
• Harold Thompson, MD
• Thrifty Payless Inc
• Nathan Tillotson
• Nina Titchenal

• Clinical Social Worker in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.