Active NPI
Olivia Grayce Thompson, LCSW
- Clinical Social Worker
- Bridgeville, PA
National Provider Identifier
1891305090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW021290
- Practice address
- 100 Emerson LN Ste 1525
Bridgeville, PA 15017-3484 - Phone
- (412) 414-5925
- Fax
- (412) 257-1571
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW021290 | PA | Primary |
Addresses
Primary practice location
100 Emerson LN Ste 1525
Bridgeville, PA 15017-3484
Mailing address
100 Emerson LN Ste 1525
Bridgeville, PA 15017-3484
Phone (412) 414-5925
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1891305090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EMERSON LN STE 1525",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150173484",
"telephone_number": "412-414-5925",
"fax_number": "412-257-1571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EMERSON LN STE 1525",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150173484",
"telephone_number": "412-414-5925",
"fax_number": "412-257-1571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "OLIVIA",
"middle_name": "GRAYCE",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW021290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.