Individual provider Active NPI

Philip Trent Thompson, LCSW

  • Clinical Social Worker
  • New Castle, DE
National Provider Identifier
1023238086
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q10000370 Issued in DE
Practice address
287 Christiana Rd Ste 8
New Castle, DE 19720-2978
Phone
(302) 325-6515
Fax
(302) 689-0122
NPI assigned
May 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q10000370 DE Primary

Addresses

Primary practice location

287 Christiana Rd Ste 8
New Castle, DE 19720-2978

Mailing address

287 Christiana Rd Ste 8
New Castle, DE 19720-2978
Phone (302) 325-6515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090824000113 DE Practitioner - Clinical Social Worker 3870647076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wilmington Psychiatric Services LLCGroup PAC ID 4486836574, 3 clinicians

Practice addresses (Care Compare)

5175 W Woodmill Dr
Suite 7
Wilmington, DE 19808-4067
Phone (302) 999-8426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q10000370DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Psychiatric Services LLC CurrentSince Dec 22, 2010 Accepting new patients
Suburban Psychiatric Services PastSince Jan 1, 2020 Accepting new patients

Locations

5143A W Woodmill Dr
Ste 24
Wilmington, DE 19808
Phone (302) 778-1288

5175 W Woodmill Dr
Ste 7
Wilmington, DE 19808
Phone (302) 998-1424

9200 Corporate Blvd
Ste 120
Rockville, MD 20850

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023238086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 CHRISTIANA RD STE 8",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202978",
            "telephone_number": "302-325-6515",
            "fax_number": "302-689-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 CHRISTIANA RD STE 8",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202978",
            "telephone_number": "302-325-6515",
            "fax_number": "302-689-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PHILIP",
        "middle_name": "TRENT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10000370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

Verify at the official NPI Registry.