NPIMap

Organization Active NPI

Rosa E.Thompson, LCSW, a Professional LLC

  • Clinical Social Worker
  • Bastrop, TX
National Provider Identifier
1730435363
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
41005 Issued in TX
Legal business name
ROSA E.THOMPSON, LCSW, A PROFESSIONAL LLC
Practice address
111 N Hasler Blvd Ste 209
Bastrop, TX 78602-3984
Phone
(512) 581-4337
Fax
(512) 581-4360
NPI assigned
Aug 1, 2012
Last updated
Sep 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Rosa Esmeralda Thompson, LCSW
Title
Owner
Phone
(512) 581-4337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 41005 TX Primary
Case Management Agency 251B00000X 41005 TX

Addresses

Primary practice location

111 N Hasler Blvd Ste 209
Bastrop, TX 78602-3984

Mailing address

111 N Hasler Blvd Ste 209
Bastrop, TX 78602-3984
Phone (512) 581-4337

National Provider Directory

National Provider Directory

Locations

111 N Hasler Blvd
Ste 209
Bastrop, TX 78602
Phone (512) 581-4337

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1730435363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N HASLER BLVD STE 209",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023984",
            "telephone_number": "512-581-4337",
            "fax_number": "512-581-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N HASLER BLVD STE 209",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023984",
            "telephone_number": "512-581-4337",
            "fax_number": "512-581-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA E.THOMPSON, LCSW, A PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "ESMERALDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-581-4337",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "41005",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "41005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.