Active NPI
Vonetta Coleman Thompson, LCSW
- Clinical Social Worker
- Hampton, VA
National Provider Identifier
1598949067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904008188
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171027000537 | VA | Practitioner - Clinical Social Worker | 4587930029 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q10000909 | DE | MD | Clinical Social Worker |
| CW017055 | PA | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.