NICOLE JANE THOMPSON PMHNP-BCLCSW LICSW NPI 1588824478

NPI Information

NPI: 1588824478
Provider Name: NICOLE JANE THOMPSON, PMHNP-BC,LCSW, LICSW
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
8430 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC
ZIP 28262
Phone: (704) 910-6142
Get Directions

Nicole Jane Thompson, PMHNP-BC,LCSW, LICSW is a psychiatric/mental health nurse practitioner in Charlotte, NC with 2 years of experience. Nicole Jane Thompson, PMHNP-BC,LCSW, LICSW NPI is 1588824478. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8430 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC
ZIP 28262-758
Phone: (704) 910-6142
Fax: (980) 422-0106

The NPI 1588824478 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2008 and was last updated on 4/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		076873	NEW YORK	No
2	1041C0700X	Social Worker	Clinical	SW11908	FLORIDA	No
3	1041C0700X	Social Worker	Clinical	114912	MASSACHUSETTS	No
4	1041C0700X	Social Worker	Clinical	53948	TEXAS	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5018004	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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