Healthcare Provider Details

I. General information

NPI: 1487202842
Provider Name (Legal Business Name): ANNE M THOMPSON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2019
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 GANNETT RD
SCITUATE MA
02066-1220
US

IV. Provider business mailing address

400 GANNETT RD STE 400
SCITUATE MA
02066-1220
US

V. Phone/Fax

Practice location:
  • Phone: 617-429-5014
  • Fax:
Mailing address:
  • Phone: 617-429-5014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ANNE MARIE THOMPSON
Title or Position: MANAGER/SOCIAL WORKER
Credential: LICSW
Phone: 617-429-5014