Individual provider Active NPI

Lionel Thompson Jr.

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1912519950
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071457-1 Issued in NY
Practice address
Bellevue Hospital Center Child & Adolescent Psychiatry
462 First Avenue Administration BLDG. 2ND FL.
New York, NY 10016
Phone
(212) 562-4991
Fax
(212) 562-8653
NPI assigned
Aug 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 071457-1 NY Primary

Addresses

Primary practice location

Bellevue Hospital Center Child & Adolescent Psychiatry
462 First Avenue Administration BLDG. 2ND FL.
New York, NY 10016

Mailing address

Bellevue Hospital Center Child & Adolescent Psychiatry
462 First Avenue Administration BLDG. 2ND FL.
New York, NY 10027
Phone (212) 562-4991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20250409000268 NY Order and Referring Only - Clinical Social Worker 7113441353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071457-1NYMDClinical Social Worker

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1912519950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BELLEVUE HOSPITAL CENTER CHILD & ADOLESCENT PSYCHIATRY",
            "address_2": "462 FIRST AVENUE ADMINISTRATION BLDG. 2ND FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10027",
            "telephone_number": "212-562-4991",
            "fax_number": "212-562-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BELLEVUE HOSPITAL CENTER CHILD & ADOLESCENT PSYCHIATRY",
            "address_2": "462 FIRST AVENUE ADMINISTRATION BLDG. 2ND FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-562-4991",
            "fax_number": "212-562-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LIONEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071457-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.