Healthcare Provider Details

I. General information

NPI: 1467373357
Provider Name (Legal Business Name): KATE S. THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 BATTLEGROUND AVE STE B
GREENSBORO NC
27408-2107
US

IV. Provider business mailing address

606 MYERS LN UNIT A
GREENSBORO NC
27408-7522
US

V. Phone/Fax

Practice location:
  • Phone: 336-337-5469
  • Fax:
Mailing address:
  • Phone: 704-560-7815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024143
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: