Individual provider Active NPI

Panthia V Thompson

  • Clinical Social Worker
  • Lincoln Park, MI
National Provider Identifier
1801224118
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
26184 Outer Dr
Lincoln Park, MI 48146-2084
Phone
(313) 389-7500
Fax
(313) 389-7510
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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 MI Primary

Addresses

Primary practice location

26184 Outer Dr
Lincoln Park, MI 48146-2084

Mailing address

25886 Maritime Cir S
Harrison Township, MI 48045-3075
Phone (313) 319-6795

Other names 1

  • Panthia V Thompson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040318001153 MI Practitioner - Clinical Social Worker 9931099348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Development Centers IncGroup PAC ID 0547254443, 15 clinicians

Practice addresses (Care Compare)

24424 W McNichols
Detroit, MI 48219-3653
Phone (313) 531-2500

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
58.04
Promoting interoperability
91
Improvement activities
40
Cost
81.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Development Centers, Inc. Clinical CurrentSince Sep 12, 2016 Accepting new patients
Care Continuum, Inc. Past Accepting new patients

Locations

24424 W McNichols Rd
Detroit, MI 48219
Phone (313) 255-0900

17141 Ryan Rd
Hamtramck, MI 48212
Phone (313) 369-1717

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": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1801224118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25886 MARITIME CIR S",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480453075",
            "telephone_number": "313-319-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26184 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462084",
            "telephone_number": "313-389-7500",
            "fax_number": "313-389-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PANTHIA",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PANTHIA",
            "last_name": "THOMPSON",
            "middle_name": "V",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lincoln Park, MI

Sources for this page

Verify at the official NPI Registry.