Healthcare Provider Details

I. General information

NPI: 1770404410
Provider Name (Legal Business Name): CHRISTAL S THOMPSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7447 CENTRAL BUSINESS PARK DR
NORFOLK VA
23513-2867
US

IV. Provider business mailing address

7447 CENTRAL BUSINESS PARK DR
NORFOLK VA
23513-2867
US

V. Phone/Fax

Practice location:
  • Phone: 757-756-5600
  • Fax:
Mailing address:
  • Phone: 757-756-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904020651
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: