Active NPI
Deborah Thompson, LCSW
- Clinical Social Worker
- Coopersburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW016075
- Practice address
- 404 E. Landis Street
Coopersburg, PA 18036 - Phone
- (484) 553-4812
- NPI assigned
- Mar 16, 2016
- Last updated
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CW016075 | PA | |
| Clinical Social Worker | 1041C0700X | CW016075 | PA | Primary |
Addresses
Primary practice location
404 E. Landis Street
Coopersburg, PA 18036
Mailing address
404 E. Landis Street
Coopersburg, PA 18036
Phone (484) 553-4812
Other names 1
- Deborah Siderias
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW016075 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care Therapy of Pennsylvania, P.C. | Clinical | Current | Accepting new patients |
| Hearthfire Psychology, PLLC | Mental Health | Current | Accepting new patients |
Locations
2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555
961 Marcon Blvd
Ste 300
Allentown, PA 18109
Phone (610) 823-7799
815 Chester Pike
Prospect Park, PA 19076
Phone (610) 586-6262
220 N Park Rd
Bldg 5
Wyomissing, PA 19610
Phone (610) 823-7799
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Prospect Park, PA
- NPI 1003320672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1386005536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 E. LANDIS STREET",
"city": "COOPERSBURG",
"state": "PA",
"postal_code": "18036",
"telephone_number": "484-553-4812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 E. LANDIS STREET",
"city": "COOPERSBURG",
"state": "PA",
"postal_code": "18036",
"telephone_number": "484-553-4812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DEBORAH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-16",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "CW016075",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW016075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "SIDERIAS",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coopersburg, PA
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- Heather Renee Swartley, RN, BSN
- Joseph Tadrzynski
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- Carol A. Thomas, LPC
- Valley Family Therapeutics
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- Valley Manor Operations LLC (Valley Manor Rehabilitation and Healthcare Center)
- Patricia Vanin, PTA
- Sarah Vlossak
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.