Lynette Thompson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C013751 Issued in NC

Practice address

104 S White St # 1017
Wake Forest, NC 27587-2773

Phone

(919) 276-0762

Fax

(919) 200-6584

NPI assigned

Aug 30, 2018

Last updated

Oct 25, 2023By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, NC

  Medicare reassignment NPD
• Verity Therapeutic Services, PLLC

  • Clinical Social Worker
  • Wake Forest, NC
  • NPI 1447034673
  NPD Authorized official

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1194207738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S WHITE ST # 1017",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872773",
            "telephone_number": "919-276-0762",
            "fax_number": "919-200-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S WHITE ST # 1017",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872773",
            "telephone_number": "919-276-0762",
            "fax_number": "919-200-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LYNETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Thomas, OTR/L
• Jennifer Thomas
• Nancy S Thomasian, SLP
• Amanda Thompson, MSW LSCWA
• Cleo Patricia Thompson
• Nikeya Raychelle Thompson
• Sean Thompson
• Tracey Thompson
• Sherry Lorraine Thomson, MSW, LCSW
• Kathy Thorn, D.C., D.A.C.B.R.

• Clinical Social Worker in Wake Forest, NC
• Providers in Wake Forest, 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 Oct 25, 2023; 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.