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DENISE K THOMAS
NPI 1174841670
Social Worker - Clinical in Covington, GA

Active since May 07, 2010PECOS Enrolled
35 OAK RIDGE CT, COVINGTON, GA 30016(302) 213-4609 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Denise K Thomas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENISE K THOMAS (NPI 1174841670) is an individual clinical provider in Covington, Georgia and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174841670
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDENISE K THOMAS
Location Address35 OAK RIDGE CTCovington, GA 30016-1851
Mailing Address35 Oak Ridge CtCovington, GA 30016-1851 · (302) 213-4609
Phone(302) 213-4609
Sole ProprietorNo
Enumeration DateMay 7, 2010
Last NPPES UpdateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
✔ NPI 1174841670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
35 OAK RIDGE CT, Covington, GA 30016
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denise K Thomas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Denise Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
584 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia, Delaware, Georgia, North Carolina, New Hampshire and South Carolina enrollments
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HADASSAH COUNSELING AND CONSULTING, LLC
Community/Behavioral Health
35 OAK RIDGE CT
COVINGTON, GA 30016
Newton County (302) 213-4609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Denise Thomas's NPI number?

The NPI number for Denise Thomas is 1174841670. It was assigned to this individual provider in the NPPES registry on May 7, 2010.

Where is Denise Thomas located?

Denise Thomas practices at 35 Oak Ridge Ct, Covington, GA 30016. The listed phone number is (302) 213-4609.

What is Denise Thomas's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Denise Thomas enrolled in Medicare?

Yes. Denise Thomas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Denise Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Thomas reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Denise Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Thomas accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Oscar Health and UnitedHealthcare list Denise Thomas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Denise Thomas was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.