Healthcare Provider Details

I. General information

NPI: 1114479318
Provider Name (Legal Business Name): APRIL LYNN THOMPSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: APRIL LYNN KLOSE

II. Dates (important events)

Enumeration Date: 11/04/2016
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 N 115TH ST STE 102
SEATTLE WA
98133-8414
US

IV. Provider business mailing address

8140 ASHTON AVE SUITE 200
MANASSAS VA
20109-5698
US

V. Phone/Fax

Practice location:
  • Phone: 206-668-1813
  • Fax:
Mailing address:
  • Phone: 703-330-9933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3410
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61399187
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904008680
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: