Active NPI
Tabitha Thompson, EDD, LCSW
- Social Worker
- Elk Grove, CA
National Provider Identifier
1548856867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 8662 Farewell CT
Elk Grove, CA 95624-3862 - Phone
- (916) 730-3947
- NPI assigned
- Dec 21, 2020
- Last updated
- Dec 21, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
8662 Farewell CT
Elk Grove, CA 95624-3862
Mailing address
8662 Farewell CT
Elk Grove, CA 95624-3862
Phone (916) 730-3947
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 9167303947 | Direct | |
| CONNECT URL | Princesstabby33@aol.com | Health Information Exchange (HIE) |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1548856867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8662 FAREWELL CT",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956243862",
"telephone_number": "916-730-3947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8662 FAREWELL CT",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956243862",
"telephone_number": "916-730-3947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "TABITHA",
"name_prefix": "Dr.",
"credential": "EDD, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "9167303947",
"affiliation": "N",
"endpointDescription": "Cell number",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8662 Farewell Ct",
"city": "Elk Grove",
"state": "CA",
"country_code": "US",
"postal_code": "956243862",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Princesstabby33@aol.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8662 Farewell Ct",
"city": "Elk Grove",
"state": "CA",
"country_code": "US",
"postal_code": "956243862",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.