Individual provider Active NPI

Tajh-Marie Thompson, MSW, LCSW

  • Clinical Social Worker
  • Suffolk, VA
National Provider Identifier
1710721220
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904016982 Issued in VA
Practice address
1000 Commercial LN FL 2
Suffolk, VA 23434-8148
Phone
(757) 435-9064
NPI assigned
Jun 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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 0904016982 VA Primary

Addresses

Primary practice location

1000 Commercial LN FL 2
Suffolk, VA 23434-8148

Mailing address

1446 Gambier Terrace CT
O Fallon, IL 62269-6708
Phone (757) 435-9064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20241003000701 VA Practitioner - Clinical Social Worker 3678004512 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk Psychotherapy, Inc. Clinical CurrentSince Feb 14, 2025 Accepting new patients
Western Tidewater Community Mental CurrentSince Sep 1, 2024 Accepting new patients

Locations

200 E 2nd Ave
Franklin, VA 23851
Phone (757) 562-2208

1913 S Church St
Ste 2
Smithfield, VA 23430
Phone (757) 357-7458

1801 S Church St
Ste 6
Smithfield, VA 23430

1000 Commercial Ln
Fl 2
Suffolk, VA 23434
Phone (757) 435-9064

135 S Saratoga St
Suffolk, VA 23434
Phone (757) 925-1981

114 N Main St
Ste 102
Suffolk, VA 23434
Phone (757) 809-5376

425 W Washington St
Ste 4
Suffolk, VA 23434
Phone (757) 209-4607

1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484

7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471

Organizations & group practices 2

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": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1710721220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 GAMBIER TERRACE CT",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622696708",
            "telephone_number": "757-435-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COMMERCIAL LN FL 2",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348148",
            "telephone_number": "757-435-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TAJH-MARIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.