Machelle Denine Madsen Thompson, PHD, LCSW
Individual provider Active NPI Clinical Social Worker · Tallahassee, FL
NPI 1003295759 · NPPES record last updated May 27, 2015
Key facts
- NPI
- 1003295759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW12492 (FL)
- Practice address
- 7188 Ox Bow Cir
Tallahassee, FL 32312-3569 - Phone
- (850) 509-8950
- NPI assigned
- May 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW12492 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW12492 | FL | Yes |
Addresses
Primary practice location
7188 Ox Bow Cir
Tallahassee, FL 32312-3569
Mailing address
7188 Ox Bow Cir
Tallahassee, FL 32312-3569
Phone (850) 509-8950
Other providers in Tallahassee, FL
- Nicodemo Macri
- Frances Macvicar
- Rebecca Maddox
- Jordan Thomas Mader
- Divya Madhavarapu
- Benjamin Thomas Madsen
- Charles H Madsen Jr.
- Jordan Ashleigh Madsen
- Kathryn Ann Madsen
- Nicholas Daniel Madsen
All providers in Tallahassee, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.