Healthcare Provider Details

I. General information

NPI: 1447174032
Provider Name (Legal Business Name): A THOMSON LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 ANTHONY RD
HALFMOON NY
12065-2601
US

IV. Provider business mailing address

146 ANTHONY RD
HALFMOON NY
12065-2601
US

V. Phone/Fax

Practice location:
  • Phone: 518-609-8412
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALEXANDRA THOMSON
Title or Position: LCSW
Credential:
Phone: 518-609-8412