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NPI Code Detail

MEDICARE: LORNA H. THOMPSON LICSW

MEDICARE: LORNA H. THOMPSON LICSW
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 WorkerISW01761RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BLUE SHIELDOTHER24201-5
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31021740OTHERGROUP #-NHP/BEACON
4BLUE CHIPOTHER410421

General Provider Information

NPI Number : 1689682429
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORNA H. THOMPSON LICSW
Provider Business Mailing Address
First Line : 71 DAYNA DR
Second Line :
City : WEST GREENWICH
State : RI
Zip : 02817-2065
Country : US
Telephone Number : 401-331-1350
Fax Number :
Provider Business Practice Location Address
First Line : 650 TEN ROD RD UNIT 13
Second Line : C/O FAMILY SERVICE OF RHODE ISLAND
City : N KINGSTOWN
State : RI
Zip : 02852-4237
Country : US
Telephone Number : 401-331-1350
Fax Number : 401-277-3366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 07/08/2007

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Directions to “ LORNA H. THOMPSON LICSW” Practice Location

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