Individual provider Active NPI

Patricia Ann Thompson, LCSW

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1700020443
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075589 Issued in NY
Practice address
120 Stuyvesant PL
4TH Floor Suite 2
Staten Island, NY 10301-1989
Phone
(718) 447-7422
Fax
(718) 447-7421
NPI assigned
Apr 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075589 NY Primary

Addresses

Primary practice location

120 Stuyvesant PL
4TH Floor Suite 2
Staten Island, NY 10301-1989

Mailing address

120 Stuyvesant PL
4TH Floor Suite 2
Staten Island, NY 10301-1989
Phone (718) 447-7422

Other names 1

  • Patricia Ann Thompson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131122000336 NY Practitioner - Clinical Social Worker 1557597572 Reassigns benefits to 1 organization
Practice locations: Staten Island, NY
I20220801001071 SC Practitioner - Clinical Social Worker 1557597572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Stuyvesant PL
Suite 4
Staten Island, NY 10301-1992
Phone (718) 447-7422

82 Belmont PL
Staten Island, NY 10301-1711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St George Counseling Services LCSW PLLC Clinical CurrentSince Oct 10, 2022 Accepting new patients
Dialectical Behavioral Health Services LLC Clinical CurrentSince Apr 1, 2022 Accepting new patients
St. George Community Counseling Services Clinical PastSince Aug 22, 2013 Accepting new patients

Locations

120 Stuyvesant Pl
Ste 423
Staten Island, NY 10301
Phone (718) 447-7422

396 Saint Paul St
Ste 107B
Orangeburg, SC 29115
Phone (803) 937-6151

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1700020443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STUYVESANT PL",
            "address_2": "4TH FLOOR SUITE 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011989",
            "telephone_number": "718-447-7422",
            "fax_number": "718-447-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STUYVESANT PL",
            "address_2": "4TH FLOOR SUITE 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011989",
            "telephone_number": "718-447-7422",
            "fax_number": "718-447-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "THOMPSON",
            "middle_name": "ANN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.