Charles Melvin Thompson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

876521 Issued in CO

Practice address

12567 W Cedar Dr
Lakewood, CO 80228-2009

Phone

(719) 469-3169

NPI assigned

Sep 16, 2019

Sex

Male

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1396395083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12567 W CEDAR DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282009",
            "telephone_number": "719-469-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12567 W CEDAR DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282009",
            "telephone_number": "719-469-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHARLES",
        "middle_name": "MELVIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "876521",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "CSW876521",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "876521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Thomas
• Megan Thomasson
• Penelope Lee Thome, M.A.
• Baylor Thompson, LAC, LPC, NCC
• Caroline Mae Thompson
• Crystal Rose Thompson, CRNA
• Denise Thompson, LPC
• Ella Paula Thompson, PHARM.D.
• Larry Wayne Thompson, D.D.S.
• Meaghan Thompson

• Clinical Social Worker in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.