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NPI Code Detail

MEDICARE: ANNE MARIE THOMPSON L.I.C.S.W.

MEDICARE: ANNE MARIE THOMPSON L.I.C.S.W.
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 Worker118771MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1118771OTHERMALICENSE

General Provider Information

NPI Number : 1154805695
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE MARIE THOMPSON L.I.C.S.W.
Provider Business Mailing Address
First Line : 25 LINSCOTT RD
Second Line :
City : HINGHAM
State : MA
Zip : 02043-4717
Country : US
Telephone Number : 617-429-5014
Fax Number :
Provider Business Practice Location Address
First Line : 2048 WASHINGTON ST
Second Line :
City : HANOVER
State : MA
Zip : 02339-1658
Country : US
Telephone Number : 617-429-5014
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2018
Last Update Date : 02/12/2026

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