Active NPI
Aundrea Denise Thomas
- Social Worker
- Canonsburg, PA
National Provider Identifier
1952542565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW011173L
- Practice address
- 229 Smithfield St
Canonsburg, PA 15317-1701 - Phone
- (724) 746-3428
- NPI assigned
- Mar 11, 2009
- Last updated
- Mar 11, 2009
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW011173L | PA | Primary |
Addresses
Primary practice location
229 Smithfield St
Canonsburg, PA 15317-1701
Mailing address
229 Smithfield St
Canonsburg, PA 15317-1701
Phone (724) 746-3428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005525880001 | Medicaid | PA |
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 |
|---|---|---|---|
| SW011173L | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1952542565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 SMITHFIELD ST",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153171701",
"telephone_number": "724-746-3428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 SMITHFIELD ST",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153171701",
"telephone_number": "724-746-3428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "AUNDREA",
"middle_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW011173L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005525880001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canonsburg, PA
- The Resilient Self, LLC
- The Washington Physician Hospital Organization, Inc.
- Thi of Pennsylvania at Greenery of Canonsburg LLC (Greenery Specialty Care Center of Canonsburg)
- Hannah Thibodeau, PSYD
- Amber Thomas
- Laurel Thompson, OTD, OTR/L
- Austin Tocco, OD
- Bradley M Todaro, DC
- Today Has Purpose, LLC
- Angelie Noelle Tolentino, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.