COURTNEY THOMAS (NPI# 1114353257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114353257 |
| Entity Type | Individual |
| Full Name | COURTNEY THOMAS |
| Credential | LCSW, LCASA |
| Practice Address |
711 Executive Pl Fayetteville NC 28305-5193 |
| Mailing Address |
910 Hope Mills Rd Fayetteville NC 28304-4243 |
| Practice Telephone | 9106153612 |
| Practice Fax Number | 9106153750 |
| Mailing Telephone | 9103028290 |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2017-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-16017 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C009768 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265819718 | Courtney Thomas | Case Manager/Care Coordinator | 1355 N 300 E, Lehi, UT 84043-1277 | 2015-05-05 |
| 1033555156 | Courtney Mercedes Thomas | Speech-Language Pathologist | 640 Piedmont Ave, Hinesville, GA 31313-2860 | 2013-05-15 |
| 1437441573 | Courtney J'von Thomas | Counselor | 8940 Old Annapolis Rd, E, Columbia, MD 21045-2129 | 2011-05-09 |
| 1689906992 | Courtney J Thomas | Homemaker | 4317 Gleane St Fl 3, Elmhurst, NY 11373-2750 | 2010-02-11 |
| 1194913327 | Courtney James Thomas | Psychologist | 600 Grand Ave Unit 301, Oakland, CA 94610-3548 | 2007-10-12 |
| 1912000886 | Courtney Thomas | Physical Therapy Assistant | 310 Brookside Dr., Madill, OK 73446 | 2006-09-06 |
| 1013906478 | Courtney Thomas | Psychologist | 530 Huntmar Park Dr, Suite A, Herndon, VA 20170-5100 | 2005-10-18 |
| 1063046662 | Courtney Lynn Thomas | Nurse Practitioner | 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 | 2020-02-24 |
| 1841830502 | Courtney Elizabeth Thomas | Behavior Technician | 6925 Parkdale Pl, Indianapolis, IN 46254-4673 | 2020-01-10 |
| 1811540529 | Courtney Leigh Thomas | Speech-Language Pathologist | 20104 Arsenal Street Rd, Watertown, NY 13601-5560 | 2019-07-22 |
| Street Address |
711 EXECUTIVE PL |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28305-5193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457447765 | Kenneth Dittmar | Psychologist | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2006-10-05 |
| 1649707936 | Samantha Curley Britt | Psychologist | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2017-05-17 |
| 1295117117 | Jasmine Akalaonu | Counselor | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2015-06-27 |
| 1245618081 | Anupama Sundar | Psychiatry & Neurology | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2015-05-13 |
| 1588092506 | Mallorie Lamia | Physician Assistant | 711 Executive Pl, 3rd Floor, Fayetteville, NC 28305-5193 | 2013-10-30 |
| 1427382308 | Antoinette H Howard | Social Worker | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2009-09-25 |
| 1649420688 | Sherry Hoang Smith | Psychologist | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2008-09-26 |
| 1376793711 | Megan H Bickel | Counselor | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2008-09-23 |
| 1700917390 | County of Cumberland | Durable Medical Equipment & Medical Supplies | 711 Executive Pl, Cap Program, Fayetteville, NC 28305-5193 | 2007-03-08 |
| 1659401453 | County of Cumberland | Psychiatry & Neurology | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
| 1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
| 1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
| 1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
| 1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
| 1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
| 1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
| 1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
| 1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
| 1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
| Find all providers in zip 28305 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484201 | Torrie Luciana Powell | Social Worker | 3526 Standard Dr, Fayetteville, NC 28306-8089 | 2020-10-15 |
| 1053918169 | Activelife Counseling, LLC | Social Worker | 1792 E Joyce Blvd Ste 105, Fayetteville, AR 72703-5253 | 2020-10-02 |
| 1861004996 | Roderick Eugene Brown Jr. | Social Worker | 2014 Litho Pl Ste 200, Fayetteville, NC 28304-2518 | 2020-08-19 |
| 1427667278 | Valerie Russell | Social Worker | 6209 Lakehaven Dr, Fayetteville, NC 28304-0610 | 2020-07-28 |
| 1942822671 | Alexis Oneal Vestal | Social Worker | 723 Athens Ave, Fayetteville, NC 28301-4800 | 2020-05-15 |
| 1346862281 | Heather Marie Sroka | Social Worker | 690 N Reilly Rd # F, Fayetteville, NC 28303-5724 | 2020-05-14 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1730716887 | Denise Rodriguez | Social Worker | 2885 N Brookbury Xing, Fayetteville, AR 72703-4377 | 2020-03-26 |
| 1982239877 | Alicia Story | Social Worker | 3035 Boone Trail Ext, Fayetteville, NC 28304-3992 | 2020-03-11 |
| 1053959619 | Benlyd Colon | Social Worker | 2940 Breezewood Ave Ste 101-201, Fayetteville, NC 28303-5520 | 2019-12-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28305 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.