Jelica Thompson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

114966 Issued in NY

Practice address

500 Union Ave Apt 1303
Bronx, NY 10455-4678

Phone

(646) 919-0295

NPI assigned

Dec 21, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1841950540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNION AVE APT 1303",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554678",
            "telephone_number": "646-919-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNION AVE APT 1303",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554678",
            "telephone_number": "646-919-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JELICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "114966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jelicathompson@icloud.com",
            "affiliation": "N",
            "endpointDescription": "iCloud email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/a",
            "address_1": "500 Union Ave Apt 1303",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104554678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fiona Marie Thompson
• Gianni-Gabriella Thompson, LPN
• Gillian Thompson
• Gloria Thompson, ED.D.
• Jacquanna Thompson
• John F Thompson, MD
• Julissa Nicheal Thompson
• Kamar Thompson
• Kaon Thompson
• Kelly Thompson

• Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.