Pamela Jean Thompson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW 6408 Issued in MN

Practice address

415 1/2 Nebraska Ave.
Breckenridge, MN 56520

Phone

(218) 643-9330

Fax

(218) 643-9330

NPI assigned

Sep 22, 2006

Last updated

Jan 13, 2014By the provider in NPPES

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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MN

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Solutions Counseling Services IncGroup PAC ID 7416289277, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Solutions Counseling Services, Inc.

  dba Birchwood Therapeutic Services

  • Professional Counselor
  • Breckenridge, MN
  • NPI 1578614038

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1881794642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 WYNDEMERE DR",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580784036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 1/2 NEBRASKA AVE.",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "56520",
            "telephone_number": "218-643-9330",
            "fax_number": "218-643-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "LICSW 6408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HFPIN:94954",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156635100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1007124",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ND",
            "identifier": "THO22688",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "067L5TH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Francis Medical Center
• St. Francis Medical Center (St. Francis Home Health)
• Corey Stump, CRNA
• Violetta Marie Syvertson, MA, LPC
• Ashley E. Thompson, LPCC
• Thrifty Drug Stores, Inc. (Thrifty White Pharmacy #781)
• Tischer Therapeutic Services
• Tischer Therapeutic Services Substance Abuse Treatment Program
• Nancy Ellen Torson, MD
• Rosemilove Jeune Turner, SOCIAL WORKER

• Clinical Social Worker in Breckenridge, MN
• Providers in Breckenridge, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.