Healthcare Provider Details

I. General information

NPI: 1053233197
Provider Name (Legal Business Name): ALBERT THOMPKINS PHD, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

382 NE 191ST ST
MIAMI FL
33179-3899
US

IV. Provider business mailing address

1746 ASHTON DR
HINESVILLE GA
31313-9110
US

V. Phone/Fax

Practice location:
  • Phone: 512-387-1855
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW25825
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: