Cleo Patricia Thompson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117905 Issued in MA

Practice address

133 Deacon Ridge St
Wake Forest, NC 27587-2873

Phone

(919) 446-8668

NPI assigned

Oct 8, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1891260626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275880236",
            "telephone_number": "919-446-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 DEACON RIDGE ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872873",
            "telephone_number": "919-446-8668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10520 Ligon Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275874575",
            "country_code": "US",
            "telephone_number": "919-446-8668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CLEO",
        "middle_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117905",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C010870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillon Chandler Thomas
• Hannah Marie Thomas, OTR/L
• Jennifer Thomas
• Nancy S Thomasian, SLP
• Amanda Thompson, MSW LSCWA
• Lynette Thompson, LCSW
• Nikeya Raychelle Thompson
• Sean Thompson
• Tracey Thompson
• Sherry Lorraine Thomson, MSW, LCSW

• Clinical Social Worker in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.