Gladys McIntosh-Thomas, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0004685-SUPV Issued in OH

Practice address

1537 N State St
Girard, OH 44420-1023

Phone

(330) 545-5214

Fax

(330) 545-5986

NPI assigned

Sep 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Gladys McIntosh Former name

Medicare fee-for-service enrollment

Enrolled in OH

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, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Churchill Counseling Services, Inc.Group PAC ID 3779532262, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Churchill Counseling Services, Inc

  • Mental Health Counselor
  • Youngstown, OH
  • NPI 1013996271
  Medicare reassignment Care Compare group NPD
• Trumbull Mahoning Medical Group, Inc.

  • Internal Medicine Physician
  • Youngstown, OH
  • NPI 1538353883
  NPD (past)

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1972971398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 N STATE ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201023",
            "telephone_number": "330-545-5214",
            "fax_number": "330-545-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 N STATE ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201023",
            "telephone_number": "330-545-5214",
            "fax_number": "330-545-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH-THOMAS",
        "first_name": "GLADYS",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0004685-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLADYS",
            "last_name": "MCINTOSH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Malkoff Sr., LISW
• Karrie Anne Maloy
• Michael S Marr II, DMD
• Martha Burton-Allen (Heartland Counseling, LLC)
• Mary Ann Echols,PHD,LLC
• Mercy Health Youngstown LLC (Mercy Health Home Care Youngstown)
• Mercy Health Youngstown LLC (Mercy Health Home Infusion-Youngsto)
• Michael Sekman, M.D., Inc.
• Darlene Michelle Mihalko
• Marian Mihas

• Clinical Social Worker in Girard, OH
• Providers in Girard, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.