Healthcare Provider Details

I. General information

NPI: 1245521715
Provider Name (Legal Business Name): MEREDITH KATE THOMPSON LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEREDITH KATE ANDERSON MSW

II. Dates (important events)

Enumeration Date: 05/02/2011
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 S HOWARD ST STE 321
SPOKANE WA
99201-3816
US

IV. Provider business mailing address

3001 S MOUNT VERNON ST STE 201
SPOKANE WA
99223-4755
US

V. Phone/Fax

Practice location:
  • Phone: 509-838-4128
  • Fax: 509-838-4816
Mailing address:
  • Phone: 509-903-8570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW60588869
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberCGG0214567
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: