Sasha J Thompson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 12219 Issued in FL

Practice address

612 N Gomez Ave
Tampa, FL 33609-1632

Phone

(813) 787-1623

NPI assigned

Jul 2, 2012

Last updated

Mar 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1003170283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N GOMEZ AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N GOMEZ AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091632",
            "telephone_number": "813-787-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SASHA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 12219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013496600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan B Thompson, COTA
• Olivia Thompson
• Paige Flanigan Thompson, DO
• Riley R Thompson, LCSW
• Robert Eric Thompson, D.C.
• Stacy E. Thompson, M.A.
• Stephen Thompson, CRNA
• Traci Lynn Thompson, MD
• Troy Jacob Thompson, PA-C
• Wendy Thompson

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.