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General NPI Number Information
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NPI Number | 1811674450
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Entity Type | Individual
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Provider Name | JERICA NICOLE THOMPSON MSW
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Gender | Female
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Dates
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Enumeration Date | 07/04/2023
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 401 N 12TH ST
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City | RICHMOND
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State | VA
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Zip | 23298-5035
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Country | US
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Telephone | 804-828-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 4613 MILFAX RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23224-5606
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0903003983
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904019445
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License Number State | VA
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