Rachel Chevonne Thompson, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106H0000X Issued in CA

Practice address

430 N Pilgrim St
Stockton, CA 95205-4428

Phone

(209) 395-3553

NPI assigned

Apr 14, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Church of Truth, Incorporated

  dba The People's Empowerment Center

  • Clinical Social Worker
  • Stockton, CA
  • NPI 1427701622
  NPD Authorized official
• Aspiranet

  • Community/Behavioral Health Agency
  • Stockton, CA
  • NPI 1144364621
  NPD (past)

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1801320924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N SUTTER ST STE 3",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022401",
            "telephone_number": "209-718-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N PILGRIM ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054428",
            "telephone_number": "209-395-3553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 N Sutter St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952022401",
            "country_code": "US",
            "telephone_number": "209-718-9862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 S El Dorado St",
            "address_2": "Suite 510",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952022804",
            "country_code": "US",
            "telephone_number": "209-478-9862",
            "fax_number": "209-478-1938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "RACHEL",
        "middle_name": "CHEVONNE",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "106H0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jevon Kendrick Thompson
• John Philson Thompson, LCSW
• Julie Thompson
• Kasey Roy Thompson, DPT
• Latisha Patrice Thompson
• Ronald M Thompson, SUDRC 15413
• Ruth Chevonne Thompson
• Scott Whittle Thompson, SUDCC
• Suzanne Thompson
• Thomecia Thompson

• Clinical Social Worker in Stockton, CA
• Providers in Stockton, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.