Healthcare Provider Details

I. General information

NPI: 1265354385
Provider Name (Legal Business Name): DANA LYNN THOMPSON MSW, LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 N ELM ST # 130
GREENSBORO NC
27455-2604
US

IV. Provider business mailing address

181 JENKINS RD
LEXINGTON NC
27295-0428
US

V. Phone/Fax

Practice location:
  • Phone: 743-337-7410
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024155
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: