Tori Clear Thompson, LCSW, CMFT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004405 Issued in GA

Practice address

500 Lanier Ave W
Suite 904
Fayetteville, GA 30214-7636

Phone

(423) 400-0377

NPI assigned

Nov 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1306173000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W",
            "address_2": "SUITE 904",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W",
            "address_2": "SUITE 904",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147636",
            "telephone_number": "423-400-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TORI",
        "middle_name": "CLEAR",
        "credential": "LCSW, CMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW004818",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000007534",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tedra Carolyn Thomas, MD
• Wayne Thomas, CFA
• Charlotte Thompson, CNM
• Robert Gilmore Thompson, MD
• Ronald T Thompson, PA
• George Benjamin Thornton, PA-AA
• Rodneesha Thornton
• Three Whiskers Counseling, LLC
• Quinterius Drashun Thurman, DPT
• David G Tian, MD

• Clinical Social Worker in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.