Active NPI
Elizabeth Thompson, LCSW
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1487735387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW09923947
- Practice address
- 2640 Edenderry Dr # DT
Colorado Springs, CO 80919-3867 - Phone
- (719) 799-0066
- Fax
- (719) 752-7605
- NPI assigned
- Oct 18, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2083 | OK | |
| Clinical Social Worker | 1041C0700X | CSW09923947 | CO | Primary |
Addresses
Primary practice location
2640 Edenderry Dr # DT
Colorado Springs, CO 80919-3867
Mailing address
PO Box 50814
Colorado Springs, CO 80949-0814
Phone (719) 799-0066
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 |
|---|---|---|---|
| CSW09923947 | CO | MD | Clinical Social Worker |
| 2083 | OK | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1487735387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50814",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809490814",
"telephone_number": "719-799-0066",
"fax_number": "719-752-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 EDENDERRY DR # DT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809193867",
"telephone_number": "719-799-0066",
"fax_number": "719-752-7605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "2083",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW09923947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.