Active NPI
Letanndra Thompson, LMSW
- Social Worker
- Russellville, AL
National Provider Identifier
1003661547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 3020G
- Practice address
- 12260 Highway 43
Russellville, AL 35653-4737 - Phone
- (256) 277-9440
- NPI assigned
- Apr 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 3020G | AL | Primary |
Addresses
Primary practice location
12260 Highway 43
Russellville, AL 35653-4737
Mailing address
308 Hickory Dr
Muscle Shoals, AL 35661-3014
Phone (256) 652-0170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3020G | AL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1003661547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 HICKORY DR",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356613014",
"telephone_number": "256-652-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12260 HIGHWAY 43",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356534737",
"telephone_number": "256-277-9440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "LETANNDRA",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-18",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AL",
"license": "3020G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.