Active NPI
Patrick Bardon Thompson, MSW, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1598091217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS26055
- Practice address
- 825 Van Ness Ave
Suite 503
San Francisco, CA 94109-7891 - Phone
- (415) 775-7766
- Fax
- (415) 775-7730
- NPI assigned
- Oct 30, 2009
- Sex
- Male
- 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 | LCS26055 | CA | Primary |
| Clinical Social Worker | 1041C0700X | LC303344 | DC |
Addresses
Primary practice location
825 Van Ness Ave
Suite 503
San Francisco, CA 94109-7891
Mailing address
4065 19TH St
San Francisco, CA 94114-2561
Phone (415) 672-8099
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS26055 | CA | MD | Clinical Social Worker |
| LC303344 | DC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256860800000",
"number": "1598091217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4065 19TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941142561",
"telephone_number": "415-672-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 VAN NESS AVE",
"address_2": "SUITE 503",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941097891",
"telephone_number": "415-775-7766",
"fax_number": "415-775-7730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "PATRICK",
"middle_name": "BARDON",
"name_prefix": "Mr.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-30",
"last_updated": "2009-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS26055",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC303344",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.