Individual provider Active NPI

Laura Mae Thomas, LICSW

  • Clinical Social Worker
  • Melbourne, FL
National Provider Identifier
1932774973
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4720C Issued in AL
Practice address
4720 Pagosa Springs Cir
Melbourne, FL 32901-8255
Phone
(205) 657-1765
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 4720C AL Primary

Addresses

Primary practice location

4720 Pagosa Springs Cir
Melbourne, FL 32901-8255

Mailing address

2106 Waverly Pkwy Apt 4H
Opelika, AL 36801-4765
Phone (205) 657-1765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210618001731 AL Practitioner - Clinical Social Worker 4486054079 Reassigns benefits to 2 organizations
I20250723002605 FL Practitioner - Clinical Social Worker 4486054079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Melbourne, FL 32901
Phone (205) 657-1765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Thomas, LLC CurrentSince Mar 24, 2025 Accepting new patients
Laura Thomas, LLC CurrentSince Mar 29, 2024 Accepting new patients
River Region Psychiatry Associates LLC CurrentSince Jun 1, 2021 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 18, 2025 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

7125 University Ct
Montgomery, AL 36117

208 W Fort Williams St
Sylacauga, AL 35150
Phone (256) 249-0943

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1932774973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 WAVERLY PKWY APT 4H",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014765",
            "telephone_number": "205-657-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 PAGOSA SPRINGS CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329018255",
            "telephone_number": "205-657-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LAURA",
        "middle_name": "MAE",
        "name_prefix": "Miss",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4720C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.