Jessica Thompson, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JESSICA THOMPSON, LCSW, LLC

Practice address

3300 S Broadway Ave Ste 212
Tyler, TX 75701-7818

Phone

(903) 780-1513

Fax

(903) 200-2013

NPI assigned

Jun 1, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Ellen Thompson, LCSW

Title

LCSW

Phone

(903) 780-1513

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1568086080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S BROADWAY AVE STE 212",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017818",
            "telephone_number": "903-780-1513",
            "fax_number": "903-200-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 S BROADWAY AVE STE 212",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017818",
            "telephone_number": "903-780-1513",
            "fax_number": "903-200-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA THOMPSON, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "903-780-1513",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Tyler, TX
• Providers in Tyler, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.