Individual provider Active NPI

Lisa D Thompson, MSW LICSW

  • Clinical Social Worker
  • Hadley, MA
National Provider Identifier
1700988938
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1020713 Issued in MA
Practice address
217 Russell St
Hadley, MA 01035-9521
Phone
(413) 586-5800
Fax
(413) 586-5800
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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 1020713 MA Primary

Addresses

Primary practice location

217 Russell St
Hadley, MA 01035-9521

Mailing address

PO Box 3444
Amherst, MA 01004-3444
Phone (413) 586-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060921000620 MA Practitioner - Clinical Social Worker 4981609104 Practice locations: Amherst, MA; Hadley, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

217 Russell St
Hadley, MA 01035-9521
Phone (413) 586-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1020713MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sharevision, Inc. Clinical Current Accepting new patients

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1700988938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3444",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010043444",
            "telephone_number": "413-586-5800",
            "fax_number": "413-586-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 RUSSELL ST",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359521",
            "telephone_number": "413-586-5800",
            "fax_number": "413-586-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1020713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hadley, MA

Sources for this page

Verify at the official NPI Registry.