Active NPI
Maricia Thompson LCSW PLLC
- Community/Behavioral Health Agency
- Springfield Gardens, NY
National Provider Identifier
1952870875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MARICIA THOMPSON LCSW PLLC
- Practice address
- 13855 Springfield Blvd
Springfield Gardens, NY 11413-2600 - Phone
- (347) 247-6631
- Fax
- (917) 387-8469
- NPI assigned
- Nov 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maricia Toni Thompson, LCSW
- Title
- Owner
- Phone
- (347) 247-6631
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
13855 Springfield Blvd
Springfield Gardens, NY 11413-2600
Mailing address
13855 Springfield Blvd
Springfield Gardens, NY 11413-2600
Phone (347) 247-6631
Other names 1
- Maricia Thompson LMSW PLLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Brooklyn, NY
- NPI 1013324326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644019200000",
"number": "1952870875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13855 SPRINGFIELD BLVD",
"city": "SPRINGFIELD GARDENS",
"state": "NY",
"postal_code": "114132600",
"telephone_number": "347-247-6631",
"fax_number": "917-387-8469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13855 SPRINGFIELD BLVD",
"city": "SPRINGFIELD GARDENS",
"state": "NY",
"postal_code": "114132600",
"telephone_number": "347-247-6631",
"fax_number": "917-387-8469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARICIA THOMPSON LCSW PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-20",
"last_updated": "2022-02-05",
"certification_date": "2022-02-05",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "MARICIA",
"authorized_official_middle_name": "TONI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-247-6631",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maricia Thompson LMSW PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Springfield Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.