Clark Thompson, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

107 Maple St
West Orange, NJ 07052-5818

Phone

(973) 980-6538

NPI assigned

Jan 23, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valera Medical, P.a.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1306435060

  Mental Health, NJ

  Medicare reassignment NPD
• Octave Behavioral PC

  • Psychologist
  • Ewing, NJ
  • NPI 1356069173
  NPD (past)

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1497461594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MAPLE ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525818",
            "telephone_number": "973-980-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MAPLE ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525818",
            "telephone_number": "973-980-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CLARK",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Private Care Behavior Solutions LLC
• The Temple Pilates and Wellness, LLC
• Marjorie Theodule Sr., DNP. APRN PMHNP B-C
• Kundana Thimmanagari
• Colette A Thomas-Lamothe
• Christine W Thorpe, ED.D.
• Judith P Tiongco, MD
• Titan Health Partners LLC
• Stephen Paul Toder, MD.
• Kirk Matthew Tolchin, OTR/L

• Mental Health Counselor in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.