Samuel B Thompson, MSW LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LISW 03897 Issued in IA

Practice address

210 2ND St Suite 200
Cedar Rapids, IA 52401

Phone

(319) 364-4593

Fax

(866) 266-5895

NPI assigned

Dec 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Covenant Family Solutions, LLC

  • Community/Behavioral Health Agency
  • Cedar Rapids, IA
  • NPI 1407295280
  NPD (past)
• Four Oaks Family and Children's Services

  • Psychiatric Residential Treatment Facility
  • Cedar Rapids, IA
  • NPI 1710046255
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972663748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KIRKWOOD BLVD SW",
            "address_2": "FOUR OAKS",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52404",
            "telephone_number": "319-364-0259",
            "fax_number": "866-290-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 2ND ST SUITE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52401",
            "telephone_number": "319-364-4593",
            "fax_number": "866-266-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SAMUEL",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MSW LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "LISW 03897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Arthur Thompson
• Emma Thompson, LMFT
• Joel Thompson
• Julie A Thompson, ARNP
• Misti Thompson
• Tiffany Thompson, CADC
• Carie Jo Thomsen Gordon, BA, IADC
• Sharon Thomsen, LMFT
• Heather Thorn, HIS
• John L Thornton, DMD

• Social Worker in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.