Individual provider Active NPI

Jeffrey Frank Thompson, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1922320050
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26056 Issued in CA
Practice address
46141 Miramar Way
Naval Consolidated Brig, Miramar
San Diego, CA 92145-2135
Phone
(858) 577-7151
Fax
(858) 577-7154
NPI assigned
Feb 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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 26056 CA Primary

Addresses

Primary practice location

46141 Miramar Way
Naval Consolidated Brig, Miramar
San Diego, CA 92145-2135

Mailing address

46141 Miramar Way Ste 1
P.O. Box 452135
San Diego, CA 92145-2135
Phone (858) 577-7151

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

LicenseStateTypeSpecialty
26056CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Navcon Brig Miramar Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1922320050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46141 MIRAMAR WAY STE 1",
            "address_2": "P.O. BOX 452135",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921452135",
            "telephone_number": "858-577-7151",
            "fax_number": "858-577-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46141 MIRAMAR WAY",
            "address_2": "NAVAL CONSOLIDATED BRIG, MIRAMAR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921452135",
            "telephone_number": "858-577-7151",
            "fax_number": "858-577-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JEFFREY",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.