MR. THOMAS LILLY (NPI# 1578188165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578188165 |
| Entity Type | Individual |
| Full Name | MR. THOMAS LILLY |
| Credential | MSW/LICSW |
| Practice Address |
39 Shortcut Road Inchelium WA 99138 |
| Mailing Address |
Po Box 290 Inchelium WA 99138-0290 |
| Practice Telephone | 5097227006 |
| Mailing Telephone | 5097227006 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LW00004159 | WA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LW00004159 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639450042 | Thomas Gregory Lilly | Respiratory Therapist, Certified | 5942 Valley Br, San Antonio, TX 78250-3951 | 2011-08-30 |
| 1952321614 | Thomas Scott Lilly | Dentist | 510 Butler Ave, Martinsburg, WV 25401-9990 | 2006-07-19 |
| Street Address |
39 SHORTCUT ROAD |
| City | INCHELIUM |
| State | WA |
| Zip Code | 99138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245248384 | Lorrie June Dawson | Nurse Practitioner | 39 Shortcut Road, Inchelium, WA 99138 | 2006-08-04 |
| 1336771674 | Ashley Evelyn Taylor | Dentist | 39 Shortcut Road, Inchelium, WA 99138 | 2020-02-05 |
| 1477114650 | Nessamarie Eueva Bates | Physical Therapist | 39 Shortcut Road, Inchelium, WA 99138-0290 | 2019-06-27 |
| 1851806673 | Juliann Munkers | Nurse's Aide | 39 Shortcut Road, Inchelium, WA 99138 | 2017-12-04 |
| 1588111009 | Kim Rosenthal | Pharmacist | 39 Shortcut Road, Inchelium, WA 99138 | 2016-09-01 |
| 1972926574 | Tyrell Allen Tonasket | Massage Therapist | 39 Shortcut Road, Inchelium, WA 99138 | 2014-02-03 |
| 1295093581 | Kimberly Rose Simpson | Technician, Other | 39 Shortcut Road, Inchelium, WA 99138-0290 | 2012-04-25 |
| 1639474943 | Kimberly Ann Walters | Pharmacist | 39 Shortcut Road, Inchelium, WA 99138 | 2011-01-18 |
| 1730481599 | Stefanie Lynn Hicks | Specialist/Technologist, Other | 39 Shortcut Road, Inchelium, WA 99138 | 2010-11-30 |
| 1497870372 | Confederate Tribes of The Colville Reservation | Clinic/Center | 39 Shortcut Road, Inchelium, WA 99138-0290 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417597360 | Shannon Marie Dripps | Registered Nurse | 39 Shortcut Rd., Inchelium, WA 99138 | 2020-01-08 |
| 1427612597 | Angela L Mcclain | Nurse Practitioner | 3052 Bridge Creek Rd, Inchelium, WA 99138 | 2019-04-24 |
| 1033411830 | Tanya Marie Mason | Registered Nurse | 39 Shortcut Rd, Inchelium, WA 99138 | 2010-11-30 |
| 1699951236 | Gary S May | Dentist | 39 Shorrtcut Rd, 290 Ox, Inchelium, WA 99138 | 2008-01-14 |
| 1902948862 | Diane Carol Mills | Registered Nurse | 36 Shortcut Road, Inchelium, WA 99138 | 2007-02-13 |
| 1487665386 | Inchelium School District #70 | Local Education Agency (LEA) | 1 Hornet Ave, Inchelium, WA 99138 | 2006-08-10 |
| 1043264054 | Colville Nation Community Health Center | Clinic/Center | 39 Short Cut Rd, Inchelium, WA 99138 | 2006-05-22 |
| 1912557240 | Arielle Anastasia Cawston | Dental Therapist | 39 Short Cut Rd, Inchelium, WA 99138 | 2019-09-18 |
| 1629544457 | David Colvin | Nurse Practitioner | 39 Shortcut Rd, Inchelium, WA 99138 | 2018-10-19 |
| 1700391505 | Kaley Jo Obrien | Dental Hygienist | 39 Shortcut Rd, Inchelium, WA 99138 | 2017-12-04 |
| Find all providers in zip 99138 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017772 | Angela Helen Sutter | Social Worker | 3820 Fawcett Ave, Tacoma, WA 98418-6733 | 2020-09-09 |
| 1417569716 | Community Transitions LLC | Social Worker | 12510 E Sprague Ave Ste 5, Spokane Valley, WA 99216-0755 | 2020-08-18 |
| 1174133383 | Julianne Cronin | Social Worker | 500 Yale Ave N, Seattle, WA 98109-5680 | 2020-08-03 |
| 1093332132 | Faith Swords | Social Worker | 910 Nw 50th St, Vancouver, WA 98663-1602 | 2020-07-05 |
| 1104451970 | Lisa Andrea Carothers | Social Worker | 1724 N Cook St, Spokane, WA 99207-5314 | 2020-03-11 |
| 1396370771 | Hip of Spokane County | Social Worker | 2001 N Division St, Spokane, WA 99207-2280 | 2020-03-06 |
| 1487288445 | Benjamin C Castilla | Social Worker | 3109 L St Ne, Auburn, WA 98002-2306 | 2020-02-28 |
| 1740810068 | Tara Louise Bartel | Social Worker | 13820 Se 20th Cir, Vancouver, WA 98683-7188 | 2020-01-26 |
| 1952931529 | Pauline Fatyga Wray | Social Worker | 3305 191st St Se, Bothell, WA 98012-7969 | 2020-01-22 |
| 1194363846 | Minjin Song | Social Worker | 4131 11th Ave Ne Apt 405, Seattle, WA 98105-6322 | 2019-12-12 |
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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.