MEDICARE: JANELLE THOMPSON

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
1	104100000X	Social Worker	12611-M	NV

General Provider Information

NPI Number	:	1972466621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANELLE THOMPSON

Provider Business Mailing Address
First Line	:	3430 E RUSSELL RD STE AND315
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2201
Country	:	US
Telephone Number	:	725-238-6990
Fax Number	:	207-510-0562

Provider Business Practice Location Address
First Line	:	3430 E RUSSELL RD STE AND315
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2201
Country	:	US
Telephone Number	:	725-238-6990
Fax Number	:	207-510-0562

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/10/2025

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Directions to “ JANELLE THOMPSON ” Practice Location

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