Victoria Princess Thompson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106474 Issued in CA

Practice address

2829 Watt Ave Ste 200
Sacramento, CA 95821-6245

Phone

(916) 922-9868

NPI assigned

May 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1376288134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 WHITE FORGE DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952122759",
            "telephone_number": "209-817-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 WATT AVE STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216245",
            "telephone_number": "916-922-9868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4736 White Forge Dr",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952122759",
            "country_code": "US",
            "telephone_number": "209-817-1459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "VICTORIA",
        "middle_name": "PRINCESS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "106474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tayanna Thompson
• Tia Yvette Thompson, CNM
• Tonya Thompson, L.P.T.
• Trevor Dawson Thompson
• Tyra Thompson
• Weston Thompson
• Kaitlyn Thomsen
• Johnya C Thomspon
• Candace Thor
• Christeina Thor

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.