Beth A Thompson, MSW
Individual provider Active NPI Social Worker · Maysville, KY
NPI 1891005765 · NPPES record last updated Oct 13, 2010
Key facts
- NPI
- 1891005765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 5794 (KY)
- Practice address
- 611 Forest Ave
Maysville, KY 41056-1411 - Phone
- (606) 564-4016
- Fax
- (606) 564-8288
- NPI assigned
- Oct 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5794 | KY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5794 | KY | Yes |
Addresses
Primary practice location
611 Forest Ave
Maysville, KY 41056-1411
Mailing address
611 Forest Ave
Maysville, KY 41056-1411
Phone (606) 564-4016
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30608012 | Medicaid | KY |
Other providers in Maysville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.