Organization Active NPI

Jackie Thompson, Licsw PLLC

  • Clinical Social Worker
  • Newburyport, MA
National Provider Identifier
1407707359
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JACKIE THOMPSON, LICSW PLLC
Practice address
10 Prince PL Ste 111
Newburyport, MA 01950-2641
Phone
(617) 549-1353
NPI assigned
Feb 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Jacqueline Thompson, LICSWNPI 1174761647
Title
Therapist, Owner
Phone
(617) 549-1353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10 Prince PL Ste 111
Newburyport, MA 01950-2641

Mailing address

3 Pheasant Run Dr
Newburyport, MA 01950-4527
Phone (617) 549-1353

National Provider Directory

National Provider Directory

Locations

10 Prince Pl
Ste 111
Newburyport, MA 01950
Phone (617) 549-1353

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1407707359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PHEASANT RUN DR",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504527",
            "telephone_number": "617-549-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PRINCE PL STE 111",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502641",
            "telephone_number": "617-549-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE THOMPSON, LICSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "THERAPIST, OWNER",
        "authorized_official_telephone_number": "617-549-1353",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.