Debra Schroeder Thompson, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW012139 Issued in PA

Practice address

1214 Hollow Rd
Collegeville, PA 19426-1517

Phone

(610) 584-4892

Fax

(610) 584-2447

NPI assigned

Jan 2, 2007

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043377146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 HOLLOW RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194261517",
            "telephone_number": "610-584-4892",
            "fax_number": "610-584-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 HOLLOW RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194261517",
            "telephone_number": "610-584-4892",
            "fax_number": "610-584-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DEBRA",
        "middle_name": "SCHROEDER",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE PROVIDER",
            "identifier": "7180531",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talamo Family Practice Group, PC
• Robert J Talamo, MD
• Cinthia Taylor
• Genevieve Rivera Teetie, FNP-BC
• The Dental Spot, LLC
• Judith Elaine Thompson, MS
• Lisa Thude
• Clara C. Tiburcio, MD
• Erin Titze, LCSW, M.ED
• Kevin Titze, PSYD

• Clinical Social Worker in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.