Leeanne Thompson-Forte, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P012346 Issued in NC

Practice address

5700 Executive Center Dr
Charlotte, NC 28212-8858

Phone

(803) 431-1132

NPI assigned

Nov 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Practice roles

Locations

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

• Anchored Counseling & Consultation PLLC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1487464095

  Clinical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1073083382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 UMSTEAD ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052959",
            "telephone_number": "803-431-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 EXECUTIVE CENTER DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128858",
            "telephone_number": "803-431-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-FORTE",
        "first_name": "LEEANNE",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thompson Child and Family Focus
• Thompson Child and Family Focus
• Thompson Child and Family Focus
• Thompson Child and Family Focus
• Thompson Child and Family Focus
• Alan Thompson
• Albert Charles Thompson Jr.
• Alyssa Thompson, BCBA
• Amber Thompson, PA
• Amy Thompson, PA-C

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.