Individual provider Active NPI

Laurie Stone Thomas, LCSW

  • Clinical Social Worker
  • Waynesboro, VA
National Provider Identifier
1932696952
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010280 Issued in VA
Practice address
501 W Broad St Ste H
Waynesboro, VA 22980-4519
Phone
(540) 471-9022
Fax
(540) 941-8807
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904010280 VA Primary

Addresses

Primary practice location

501 W Broad St Ste H
Waynesboro, VA 22980-4519

Mailing address

725 Oak Ave
Waynesboro, VA 22980-4430
Phone (540) 471-9022

Other identifiers 1

IdentifierTypeStateIssuer
0904010280OtherVACOMMONWEALTH OF VIRGINIA DEPT. OF HEALTH PROFESSIONALS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200518001242 VA Practitioner - Clinical Social Worker 2264863745 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904010280VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Creative Counseling for Children and Adolescents CurrentSince Apr 11, 2020 Accepting new patients

Locations

501 W Broad St
Ste H
Waynesboro, VA 22980
Phone (540) 358-0087

1320 Ohio St
Ste L
Waynesboro, VA 22980

Organizations & group practices 1

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1932696952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 OAK AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229804430",
            "telephone_number": "540-471-9022",
            "fax_number": "540-941-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W BROAD ST STE H",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229804519",
            "telephone_number": "540-471-9022",
            "fax_number": "540-941-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LAURIE",
        "middle_name": "STONE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF VIRGINIA DEPT. OF HEALTH PROFESSIONALS",
            "identifier": "0904010280",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

Verify at the official NPI Registry.