Alexandra R Thompson, LMSW
Individual provider Active NPI Social Worker · Schoharie, NY
NPI 1487298808 · NPPES record last updated Oct 29, 2019
Key facts
- NPI
- 1487298808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 107719 (NY)
- Practice address
- 113 Park PL
Schoharie, NY 12157-5211 - Phone
- (518) 295-8336
- NPI assigned
- Oct 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107719 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | 107719 | NY | Yes |
Addresses
Primary practice location
113 Park PL
Schoharie, NY 12157-5211
Mailing address
113 Park PL
Schoharie, NY 12157-5211
Phone (518) 295-8336
Other providers in Schoharie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.