Cheyenne Mary Thompson, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW139323 Issued in PA

Practice address

1315 S Allen St Ste 303
State College, PA 16801-5946

Phone

(814) 419-5463

NPI assigned

Aug 14, 2022

Last updated

Aug 14, 2022By 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

Other names 1

• Cheyenne Mary Smolko Former name

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": "1660435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1376271692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 FOUNTAIN RD",
            "city": "SNOW SHOE",
            "state": "PA",
            "postal_code": "168748809",
            "telephone_number": "814-571-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S ALLEN ST STE 303",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015946",
            "telephone_number": "814-419-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHEYENNE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-14",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW139323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEYENNE",
            "last_name": "SMOLKO",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lorella G Thomas, CRNP
• Peter Warren Thomas, D.O.
• Lynn Wachter Thompson - Gregory, CRNP
• Aaron L Thompson, PA-C
• Ann M. Thompson, C.N.M. (RETIRED)
• Kayla Thompson, CRNP
• Winta Queenie Thompson
• Thrift Drug Inc (Rite Aid Pharmacy 11013)
• Thrift Drug Inc (Rite Aid Pharmacy 11014)
• Ewing Tibbels, M.D.

• Social Worker in State College, PA
• Providers in State College, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.