Individual provider Active NPI

Nicole H Thompson, LCSW

  • Clinical Social Worker
  • Sugar Land, TX
National Provider Identifier
1295074490
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109171 Issued in TX
Practice address
2535 Cordes Dr
Sugar Land, TX 77479-1386
Phone
(281) 276-4400
Fax
(281) 239-0828
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801094654 MI
Clinical Social Worker 1041C0700X 109171 TX Primary

Addresses

Primary practice location

2535 Cordes Dr
Sugar Land, TX 77479-1386

Mailing address

4910 Airport Ave Ste D
Rosenberg, TX 77471-5759
Phone (281) 239-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20231024002617 TX Practitioner - Clinical Social Worker 0042666224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texana CenterGroup PAC ID 7618963265, 23 clinicians

Practice addresses (Care Compare)

4910 Airport Ave
Suite D
Rosenberg, TX 77471-5759
Phone (281) 239-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801094654MIMDClinical Social Worker
109171TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Texana Center CurrentSince Sep 19, 2023 Accepting new patients

Locations

400 Avenue F
Bay City, TX 77414
Phone (979) 245-9231

539 FM 359 Rd S
Brookshire, TX 77423

1460 Walnut St
Columbus, TX 78934
Phone (979) 732-6204

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

2535 Cordes Dr
Sugar Land, TX 77479
Phone (281) 276-4400

3007 N Richmond Rd
Wharton, TX 77488
Phone (409) 732-2356

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1295074490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 AIRPORT AVE STE D",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715759",
            "telephone_number": "281-239-1300",
            "fax_number": "281-239-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 CORDES DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791386",
            "telephone_number": "281-276-4400",
            "fax_number": "281-239-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NICOLE",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094654",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.