Individual provider Active NPI

Sara Therese Thompson, LCSW, CAADC

  • Clinical Social Worker
  • Gettysburg, PA
National Provider Identifier
1922639277
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022928 Issued in PA
Practice address
2311 Fairfield Rd Ste F
Gettysburg, PA 17325-6310
Phone
(717) 778-1030
Fax
(855) 887-7199
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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 CW022928 PA Primary

Addresses

Primary practice location

2311 Fairfield Rd Ste F
Gettysburg, PA 17325-6310

Mailing address

2311 Fairfield Rd Ste F
Gettysburg, PA 17325-6310
Phone (717) 778-1030

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
CW022928PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Counseling Services, LLC CurrentSince Nov 12, 2023 Accepting new patients

Locations

2311 Fairfield Rd
Ste F
Gettysburg, PA 17325
Phone (717) 398-2044

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": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1922639277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 FAIRFIELD RD STE F",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173256310",
            "telephone_number": "717-778-1030",
            "fax_number": "855-887-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 FAIRFIELD RD STE F",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173256310",
            "telephone_number": "717-778-1030",
            "fax_number": "855-887-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SARA",
        "middle_name": "THERESE",
        "credential": "LCSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.