Doctor Name: | MS. SHARON ELAINE THOMPSON |
NPI Number: | 1003878810 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSWC, LCSW |
License Number: | 07580 |
Business Practice Address: | 650 Joel Dr Fort Campbell, KY - 422235318 |
Business Phone Number: | 2707984269 |
Business Fax Number: | |
Mailing Address: | 650 Joel Drive, Blanchfield Army Community Hospital, Fort Campbell FORT CAMPBELL |
State: | KY |
Postal Code: | 422235318 |
Phone Number: | 4103792923 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2006 |
NPI Last Update Date: | 09/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 07580 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |