Individual provider Active NPI

Joshua R Thompson, LCSW

  • Clinical Social Worker
  • Enterprise, AL
National Provider Identifier
1649783663
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4393C Issued in AL
Practice address
557 Glover Ave Ste 3
Enterprise, AL 36330-2070
Phone
(334) 308-2292
Fax
(334) 347-2919
NPI assigned
Nov 13, 2017
Last updated
Jun 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4393C AL Primary
Clinical Social Worker 1041C0700X 23302 MD

Addresses

Primary practice location

557 Glover Ave Ste 3
Enterprise, AL 36330-2070

Mailing address

1420 Spring St
Silver Spring, MD 20910-2701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20201006002135 AL Practitioner - Clinical Social Worker 7911326285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

557 Glover Ave
Suite 3
Enterprise, AL 36330-2070
Phone (334) 308-2292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4393CALMDClinical Social Worker
23302MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Perspective Counseling Services, LLC CurrentSince Jun 24, 2020 Accepting new patients

Locations

557 Glover Ave
Ste 3
Enterprise, AL 36330
Phone (334) 308-2292

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1649783663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SPRING ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 GLOVER AVE STE 3",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302070",
            "telephone_number": "334-308-2292",
            "fax_number": "334-347-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JOSHUA",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-13",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4393C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.