Individual provider Active NPI

Vonetta Coleman Thompson, LCSW

  • Clinical Social Worker
  • Hampton, VA
National Provider Identifier
1598949067
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008188 Issued in VA
Practice address
1702 Todds LN Ste 385
Hampton, VA 23666-3212
Phone
(757) 768-6288
Fax
(757) 800-0188
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017055 PA
Clinical Social Worker 1041C0700X Q10000909 DE
Clinical Social Worker 1041C0700X 0904008188 VA Primary

Addresses

Primary practice location

1702 Todds LN Ste 385
Hampton, VA 23666-3212

Mailing address

112 Settlers Landing Rd
Suffolk, VA 23435-1740
Phone (757) 768-6148

Other practice location 1

15064 Carrollton Blvd Ste 24
Carrollton, VA 23314-3582
Phone (757) 768-6288

Other names 1

  • Vonetta Monae Coleman-Thompson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20171027000537 VA Practitioner - Clinical Social Worker 4587930029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q10000909DEMDClinical Social Worker
CW017055PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1598949067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SETTLERS LANDING RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351740",
            "telephone_number": "757-768-6148",
            "fax_number": "757-800-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 TODDS LN STE 385",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663212",
            "telephone_number": "757-768-6288",
            "fax_number": "757-800-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15064 Carrollton Blvd Ste 24",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "VA",
            "postal_code": "233143582",
            "country_code": "US",
            "telephone_number": "757-768-6288",
            "fax_number": "757-800-0188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "VONETTA",
        "middle_name": "COLEMAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017055",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10000909",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VONETTA",
            "last_name": "COLEMAN-THOMPSON",
            "middle_name": "MONAE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.