Individual provider Active NPI

Michael J Thomas, LCSW

  • Social Worker
  • Houston, TX
National Provider Identifier
1992865919
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
01476 Issued in TX
Practice address
4615 Southwest Freeway
Suite 430
Houston, TX 77027
Phone
(713) 623-2984
Fax
(713) 623-0067
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 01476 TX Primary

Addresses

Primary practice location

4615 Southwest Freeway
Suite 430
Houston, TX 77027

Mailing address

4615 Southwest Freeway
Suite 430
Houston, TX 77027
Phone (713) 623-2984

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120612000218 TX Practitioner - Clinical Social Worker 2163686775 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4615 Southwest Frwy
Suite 430
Houstone, TX 77027-7114

4615 Southwest Fwy
Suite 430
Houston, TX 77027-7114
Phone (713) 623-2984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992865919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 SOUTHWEST FREEWAY",
            "address_2": "SUITE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77027",
            "telephone_number": "713-623-2984",
            "fax_number": "713-623-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 SOUTHWEST FREEWAY",
            "address_2": "SUITE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77027",
            "telephone_number": "713-623-2984",
            "fax_number": "713-623-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "01476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.