Julius Wallace Thompson, LCSW-C
Individual provider Active NPI Clinical Social Worker · Crisfield, MD
NPI 1962444893 · NPPES record last updated Mar 5, 2008
Key facts
- NPI
- 1962444893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 10043 (MD)
- Practice address
- 26740 Old State Rd
Crisfield, MD 21817-2114 - Phone
- (410) 651-4595
- Fax
- (410) 968-0191
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10043 | MD | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10043 | MD | Yes |
Addresses
Primary practice location
26740 Old State Rd
Crisfield, MD 21817-2114
Mailing address
26740 Old State Rd
Crisfield, MD 21817-2114
Phone (410) 651-4595
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 817700700 | Medicaid | MD |
Other providers in Crisfield, MD
- Bruce Cluff Ramsay
- Heather Lee Shelton
- Somerset Health Services LLC
- Somerset Primary Care
- Somerset Primary Care LLC
- Tidalhealth Peninsula Regional, Inc.
- Tidalhealth Peninsula Regional, Inc.
- Tidalhealth Peninsula Regional, Inc.
- Tidalhealth Primary Care, LLC
- Gunta A Wheeler
All providers in Crisfield, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.