Susan P Thompson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2011 S 25TH St Ste 108
Fort Pierce, FL 34947-4795

Phone

(772) 242-1079

Fax

(772) 242-1296

NPI assigned

Sep 22, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Treasure Coast Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Vero Beach, FL
  • NPI 1326608001

  Corporate Director

  CMS ownership
• Treasure Coast Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Vero Beach, FL
  • NPI 1376010504

  Corporate Director

  CMS ownership
• Treasure Coast Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Vero Beach, FL
  • NPI 1750922605

  Corporate Director

  CMS ownership
• Treasure Coast Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Fellsmere, FL
  • NPI 1891740916

  Corporate Director

  CMS ownership

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1801675541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 S 25TH ST STE 108",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474795",
            "telephone_number": "772-242-1079",
            "fax_number": "772-242-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 S 25TH ST STE 108",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474795",
            "telephone_number": "772-242-1079",
            "fax_number": "772-242-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SUSAN",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Thomas
• Taneisha Thomas
• Linda Thompkins
• Deion Tamar Thompson Armstrong IV
• Bruce Oliver Thompson
• Susan M Thul, ARNP, CNM
• Lois E. Thurber, RN
• Annalisa Tietjen I
• Marjorie Marie Time
• Kevin Paul Timko I, R.N.

• Clinical Social Worker in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.