MEDICARE: NAOMI DAWN ERLE THOMAS CHW, LADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1851136535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAOMI DAWN ERLE THOMAS CHW, LADC

Provider Business Mailing Address
First Line	:	PO BOX 280
Second Line	:
City	:	RED LAKE
State	:	MN
Zip	:	56671-0280
Country	:	US
Telephone Number	:	218-679-3228
Fax Number	:

Provider Business Practice Location Address
First Line	:	403 4TH ST NW STE 120
Second Line	:
City	:	BEMIDJI
State	:	MN
Zip	:	56601-3155
Country	:	US
Telephone Number	:	218-444-2718
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	06/26/2024

Similar Medicare Providers

1023152667 — MR. JOHN ALEXANDER ERIC GRAHAM PSYCHOLOGIST
Practice Location Address:

403 4TH ST NW STE 110
BEMIDJI, MN
56601-3155

Practice Phone: 218-586-4057
Practice Fax:

1689817751 — DEONNE MARGARET WIDNER MSW, LICSW
Practice Location Address:

403 4TH ST NW STE 115
BEMIDJI, MN
56601-3155

Practice Phone: 218-214-9389
Practice Fax: 218-517-2034

1114668829 — JEFFREY SCOTT WIDNER LICSW
Practice Location Address:

403 4TH ST NW STE 115
BEMIDJI, MN
56601-3155

Practice Phone: 218-214-9389
Practice Fax: 218-517-2034

1881438067 — CHARLES-CAMARIN WIDNER MSW, LGSW
Practice Location Address:

403 4TH ST NW STE 115
BEMIDJI, MN
56601-3155

Practice Phone: 218-308-8133
Practice Fax:

1407690209 — MS. NICOLLE R NICHOLS
Practice Location Address:

403 4TH ST NW STE 115
BEMIDJI, MN
56601-3155

Practice Phone: 218-308-8560
Practice Fax:

1700620564 — CURTIS JAMES SMITH
Practice Location Address:

403 4TH ST NW STE 120
BEMIDJI, MN
56601-3155

Practice Phone: 218-444-2718
Practice Fax:

Directions to “ NAOMI DAWN ERLE THOMAS CHW, LADC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.