Individual provider Active NPI

Pamala Dawn Thompsen, LCSW-C

  • Clinical Social Worker
  • Pocomoke City, MD
National Provider Identifier
1831510486
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10151 Issued in MD
Practice address
2116 Wildwood TRL Ste 8
Pocomoke City, MD 21851-3546
Phone
(410) 251-4073
NPI assigned
Dec 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 10151 MD Primary

Addresses

Primary practice location

2116 Wildwood TRL Ste 8
Pocomoke City, MD 21851-3546

Mailing address

2116 Wildwood TRL
Pocomoke City, MD 21851-3546
Phone (410) 251-4073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10151MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1831510486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 WILDWOOD TRL",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218513546",
            "telephone_number": "410-251-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 WILDWOOD TRL STE 8",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218513546",
            "telephone_number": "410-251-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSEN",
        "first_name": "PAMALA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocomoke City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.