Doctor Name: | SASHA J THOMPSON |
NPI Number: | 1003170283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SW 12219 |
Business Practice Address: | 3000 41st Street Ocean Marathon, FL - 330502373 |
Business Phone Number: | 3054347660 |
Business Fax Number: | 3054349040 |
Mailing Address: | 3000 41st Street Ocean, MARATHON |
State: | FL |
Postal Code: | 330502373 |
Phone Number: | 3054347660 |
Fax Number: | 3054349040 |
NPI Enumeration Date: | 07/02/2012 |
NPI Last Update Date: | 10/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW 12219 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |