Audra C. Thompson, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I1303343S Issued in OH

Practice address

17407 Lorain Ave Ste 201
Cleveland, OH 44111-4022

Phone

(440) 202-9640

NPI assigned

Mar 15, 2011

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wells & Associates

  • Community/Behavioral Health Agency
  • Millersport, OH
  • NPI 1790342673
  NPD (past)

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1598064685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 HEBRON RD",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561357",
            "telephone_number": "440-202-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17407 LORAIN AVE STE 201",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441114022",
            "telephone_number": "440-202-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "AUDRA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1303343S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Renee Thome, LSW
• Kathy Rena Thompkins, LPN
• Christina Thompson-Means
• Brooke Thompson-Smith
• Anne Thompson, HOME HEALTH AIDE
• Avaron Thompson
• Berry J Thompson III
• Beth Thompson
• Ca'Kira Latrice Thompson
• Calandra Thompson

• Clinical Social Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.