Doctor Name: | PATRICIA LUCILLE THOMPSON |
NPI Number: | 1184660854 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 00303 |
Business Practice Address: | 7000 Security Blvd Suite 302 Windsor Mill, MD - 212442561 |
Business Phone Number: | 4102811134 |
Business Fax Number: | 4102984326 |
Mailing Address: | 7411 Allmont Rd, WINDSOR MILL |
State: | MD |
Postal Code: | 212442846 |
Phone Number: | 4104961196 |
Fax Number: | 4104961196 |
NPI Enumeration Date: | 06/21/2006 |
NPI Last Update Date: | 06/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 00303 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |