Tanya Roxanne Thompson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 12430 Issued in FL

Practice address

3056 Marbon Estates LN S
Jacksonville, FL 32223-4828

Phone

(904) 383-8382

NPI assigned

Jun 26, 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

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mandarin Counseling IncGroup PAC ID 0143397281, 5 clinicians

Resources for Mental Wellness LLCGroup PAC ID 0042667362, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tanya.thompson.1@29383.direct.athenahealth.com

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.

• Mandarin Counseling Inc

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1811187271
  Medicare reassignment Care Compare group NPD
• Resources for Mental Wellness LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1144991134
  Medicare reassignment Care Compare group NPD
• Ace-Agency for Community Empowerment , Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1245568930
  NPD (past)

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

{
    "created_epoch": "1309046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1609162809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 MARBON ESTATES LN S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322234828",
            "telephone_number": "904-383-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3056 MARBON ESTATES LN S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322234828",
            "telephone_number": "904-383-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TANYA",
        "middle_name": "ROXANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-26",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 12430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reylius Thompson Jr.
• Robyn Thompson
• Ryan Bradley Thompson, MD
• Shelly Holder Thompson, M.D.
• Tangela Thompson
• Taylor Lee Thompson, PH.D
• Thaddeus Thompson, PT
• Thomas Zachary Thompson, M.D.
• Tresonda L Thompson, CNM, ARNP
• Tricia Thompson

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.