Diane Renee Thompson, MSW, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801059223 Issued in MI

Practice address

17041 Edwards Ave
Southfield, MI 48076-2051

Phone

(734) 358-0415

NPI assigned

Mar 19, 2008

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

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": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1174794945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17041 EDWARDS AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762051",
            "telephone_number": "734-358-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17041 EDWARDS AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762051",
            "telephone_number": "734-358-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DIANE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "MSW, CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Thomason
• Angel India Thompson
• Billy Thompson Sr., PH.D.
• Christine Thompson
• Danniel Thompson
• Eugenia Thompson
• Kaitlynn Thompson
• Kerrie Thompson
• Morgan Thompson, DPT
• Regina Thompson

• Clinical Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.