Latasha Thompson, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14401 Issued in SC

Practice address

336 Riverdale Rd
Simpsonville, SC 29680-7747

Phone

(864) 341-7588

NPI assigned

Oct 6, 2021

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 SC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shacondra.thompson.1@30137.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/fhir/r4

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.

• Che Behavioral Health Services of South Carolina, P.C.

  • Clinical Psychologist
  • Greenville, SC
  • NPI 1568048833

  Clinical, SC

  Medicare reassignment NPD
• Foothills Community Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Anderson, SC
  • NPI 1063056661

  SC

  Medicare reassignment NPD
• Foothills Community Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Clemson, SC
  • NPI 1538417951

  SC

  Medicare reassignment NPD
• Foothills Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Easley, SC
  • NPI 1083169213

  SC

  Medicare reassignment NPD
• Foothills Community Health Care, Inc.

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1972369643
  NPD
• Foothills Community Health Care, Inc.

  • Clinic/Center
  • Easley, SC
  • NPI 1861168155
  NPD (past)

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1700548831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 RIVERDALE RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807747",
            "telephone_number": "864-341-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 RIVERDALE RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807747",
            "telephone_number": "864-341-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LATASHA",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Thomason
• Asiah Thompson, RDH
• Janie Venita Thompson
• Julie Ann Thompson, DOULA
• Kellie D Thompson, FNP
• Russell Thompson
• Allison Thorman, RPH
• Thrive Wellness and Performance, LLC.
• Sarah Tidswell, PT
• Patricia Ann-Marie Tolan, RN

• All providers in Simpsonville, SC
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.

Verify at the official NPI Registry.