Individual provider Active NPI

Heather Renee Thomas, LMSW

  • Clinical Social Worker
  • Marshfield, MO
National Provider Identifier
1972111912
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2022045758 Issued in MO
Practice address
122 Ranger Dr
Marshfield, MO 65706-9612
Phone
(417) 761-1237
NPI assigned
Jul 15, 2020
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 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 2022045758 MO Primary

Addresses

Primary practice location

122 Ranger Dr
Marshfield, MO 65706-9612

Mailing address

122 Ranger Dr
Marshfield, MO 65706-9612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MO2 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
I20250529000021 MD Practitioner - Clinical Social Worker 0446779805 Reassigns benefits to 1 organization
I20251216001253 MO Practitioner - Clinical Social Worker 0446779805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marissa Block LLCGroup PAC ID 2769894963, 12 clinicians

Practice addresses (Care Compare)

200 E Joppa Rd
Suite 400
Towson, MD 21286-3109
Phone (443) 300-6905

646 Dartmouth Crossing CT
Wildwood, MO 63011-5434
Phone (443) 300-6905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022045758MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marissa Block LLC Clinical CurrentSince May 7, 2025 Accepting new patients

Locations

200 E Joppa Rd
Ste 400
Towson, MD 21286
Phone (443) 300-6905

305 W Pennsylvania Ave
Towson, MD 21204
Phone (443) 300-6905

Organizations & group practices 2

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": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1972111912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 RANGER DR",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657069612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 RANGER DR",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657069612",
            "telephone_number": "417-761-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2022045758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, MO

Sources for this page

Verify at the official NPI Registry.