Individual provider Active NPI

Tina Nicole Thompson, L.C.S.W.

  • Clinical Social Worker
  • Burlington, NC
National Provider Identifier
1356515027
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003124 Issued in NC
Practice address
154 Huffman Mill Rd Ste 206
Burlington, NC 27215-5113
Phone
(336) 270-6896
Fax
(336) 270-8066
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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 C003124 NC Primary

Addresses

Primary practice location

154 Huffman Mill Rd Ste 206
Burlington, NC 27215-5113

Mailing address

PO Box 56
Graham, NC 27253-0056
Phone (336) 270-6896

Other identifiers 1

IdentifierTypeStateIssuer
6002354MedicaidNC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080624000256 NC Practitioner - Clinical Social Worker 9931270675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

154 Huffman Mill Rd
Suite 206
Burlington, NC 27215-5113
Phone (336) 270-6896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C003124NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Perspectives Counseling & Consulting, Inc. Clinical CurrentSince Oct 1, 2016 Accepting new patients
Burlington Psychiatry & Assoc. Inc Past Accepting new patients

Locations

154 Huffman Mill Rd
Ste 206
Burlington, NC 27215
Phone (336) 270-6896

2949 Crouse Ln
Ste 200
Burlington, NC 27215
Phone (336) 270-6896

408 Alamance Rd
Ste F
Burlington, NC 27215

200 N Main St
Bldg 301
Graham, NC 27253

Interoperability endpoints

  • Direct secure messaging: tina.thompson@direct.pcci.nchie.net

Organizations & group practices 2

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1356515027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272530056",
            "telephone_number": "336-270-6896",
            "fax_number": "336-270-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 HUFFMAN MILL RD STE 206",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155113",
            "telephone_number": "336-270-6896",
            "fax_number": "336-270-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TINA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002354",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.