Stacey Delores Thompson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

106292 Issued in NY

Practice address

2581 Atlantic Ave
Brooklyn, NY 11207

Phone

(718) 495-6700

Fax

(718) 485-4018

NPI assigned

Dec 19, 2013

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1023439965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072412",
            "telephone_number": "718-495-6700",
            "fax_number": "718-485-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11207",
            "telephone_number": "718-495-6700",
            "fax_number": "718-485-4018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2233 Nostrand Ave",
            "address_2": "2nd floor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112103045",
            "country_code": "US",
            "telephone_number": "718-859-9760 x233",
            "fax_number": "718-859-9767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "STACEY",
        "middle_name": "DELORES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "106292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stacey.thompson@iclinc.net",
            "affiliation": "N",
            "address_1": "2581 Atlantic Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112072412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rupert Anthony Thompson, MD
• Samantha J Thompson
• Sean Allen Cantorna Thompson, FNP
• Sharifa Thompson
• Spencer Thompson, MD
• Stacy Lachion Thompson
• Stephanie Thompson
• Takeisha Thompson
• Teresa Thompson, LCSW
• Tessa Thomas Thompson, LCSW

• Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.