Thomas J Cleary, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S10023 Issued in TX

Practice address

1708 Dayton
Wichita Falls, TX 76301-6110

Phone

(940) 500-4408

Fax

(940) 386-1318

NPI assigned

Jul 19, 2005

Last updated

Mar 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Managing Life Mental Health Clinic LLCGroup PAC ID 9436560638, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Managing Life Mental Health Clinic LLC

  • Mental Health Counselor
  • Wichita Falls, TX
  • NPI 1932706512
  Medicare reassignment Care Compare group NPD
• Jesse Gorley, M.D., PLLC

  • Psychiatry Physician
  • Wichita Falls, TX
  • NPI 1164083010
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1952300162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 RHEA RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763084404",
            "telephone_number": "940-500-4408",
            "fax_number": "940-386-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 DAYTON",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016110",
            "telephone_number": "940-500-4408",
            "fax_number": "940-386-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S10023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108288502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108288504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00S85Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarke Eyecare Center, LLP (Clarke EyeCare Center)
• Calvin S Clarke, OD
• Daniel B Clarke, OD
• Elizabeth B Clarke, OD
• Gracie Clarke, LCSW
• Allison E Clement, PTA
• Miranda June Clemons, PMHNP
• Clindle LLC
• Clinical Partners-Wichita Falls
• Clinics of North Texas LLP

• Clinical Social Worker in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.