Doctor Name: | CAROL PHILLIPS THOMPSON |
NPI Number: | 1235172487 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 004150 |
Business Practice Address: | 7 Carriage Dr Stonington, CT - 063782404 |
Business Phone Number: | 8602353361 |
Business Fax Number: | 8605351529 |
Mailing Address: | 567 Vauxhall Street Ext, Suite 207 WATERFORD |
State: | CT |
Postal Code: | 063854330 |
Phone Number: | 8602353361 |
Fax Number: | 8605351529 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 04/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 004150 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |