Healthcare Provider Details

I. General information

NPI: 1134087091
Provider Name (Legal Business Name): MARIA ELENA THOMPSON ASW134133
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 01/12/2026
Certification Date: 01/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 CAMINO DEL SOL
OXNARD CA
93030-3725
US

IV. Provider business mailing address

23055 SHERMAN WAY
WEST HILLS CA
91307-2000
US

V. Phone/Fax

Practice location:
  • Phone: 818-620-0023
  • Fax:
Mailing address:
  • Phone: 818-620-0023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW134133
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: