Healthcare Provider Details

I. General information

NPI: 1689682429
Provider Name (Legal Business Name): LORNA H. THOMPSON LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 TEN ROD RD UNIT 13 C/O FAMILY SERVICE OF RHODE ISLAND
N KINGSTOWN RI
02852-4237
US

IV. Provider business mailing address

71 DAYNA DR
WEST GREENWICH RI
02817-2065
US

V. Phone/Fax

Practice location:
  • Phone: 401-331-1350
  • Fax: 401-277-3366
Mailing address:
  • Phone: 401-331-1350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW01761
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: