Active NPI
Rosa M Thompson, LCSW
- Clinical Social Worker
- Jbsa Ft Sam Houston, TX
National Provider Identifier
1922258409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23062
- Practice address
- Brooke Army Medical Center
3551 Roger Brooke Dr.
Jbsa Ft Sam Houston, TX 78234 - Phone
- (210) 916-5792
- Fax
- (210) 916-5102
- NPI assigned
- Sep 22, 2008
- 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 | 23062 | TX | Primary |
Addresses
Primary practice location
Brooke Army Medical Center
3551 Roger Brooke Dr.
Jbsa Ft Sam Houston, TX 78234
Mailing address
Brooke Army Medical Center
3551 Roger Brooke Dr.
Jbsa Ft Sam Houston, TX 78234
Phone (210) 916-5792
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23062 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1922258409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER",
"address_2": "3551 ROGER BROOKE DR.",
"city": "JBSA FT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-916-5792",
"fax_number": "210-916-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER",
"address_2": "3551 ROGER BROOKE DR.",
"city": "JBSA FT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-916-5792",
"fax_number": "210-916-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ROSA",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-22",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "23062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Ft Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.