Individual provider Active NPI

James L Thompson, LCSW

  • Clinical Social Worker
  • Spencer, OK
National Provider Identifier
1285062166
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0525 Issued in OK
Practice address
12716 NE 36TH St
Spencer, OK 73084-9167
Phone
(405) 769-3301
Fax
(405) 769-9685
NPI assigned
Oct 31, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0525 OK Primary

Addresses

Primary practice location

12716 NE 36TH St
Spencer, OK 73084-9167

Mailing address

PO Box 30589
Midwest City, OK 73140-3589
Phone (405) 769-3301

Other identifiers 1

IdentifierTypeStateIssuer
730930123MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1285062166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30589",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731403589",
            "telephone_number": "405-769-3301",
            "fax_number": "405-769-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12716 NE 36TH ST",
            "city": "SPENCER",
            "state": "OK",
            "postal_code": "730849167",
            "telephone_number": "405-769-3301",
            "fax_number": "405-769-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JAMES",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-31",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "0525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730930123",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.