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NPI Code Detail

MEDICARE: MS. BRENDA JOYCE THOMPSON LCSW-R

MEDICARE:  MS. BRENDA JOYCE THOMPSON  LCSW-R
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerRO23662-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P3591322OTHERNYOXFORD
219779POTHERNYHIP
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053413377
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRENDA JOYCE THOMPSON LCSW-R
Provider Business Mailing Address
First Line : 144-46 167 ST.
Second Line :
City : JAMAICA
State : NY
Zip : 11434-4826
Country : US
Telephone Number : 347-262-0512
Fax Number :
Provider Business Practice Location Address
First Line : 26 COURT ST STE 1210
Second Line :
City : BROOKLYN
State : NY
Zip : 11242-1112
Country : US
Telephone Number : 347-262-0512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2006
Last Update Date : 07/08/2007

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Directions to “ MS. BRENDA JOYCE THOMPSON LCSW-R” Practice Location

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