MEDICARE: ALICIA MUSGRAVE THOMPSON DRPH, LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	LMSW-19753	AZ

General Provider Information

NPI Number	:	1124730429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA MUSGRAVE THOMPSON DRPH, LMSW

Provider Business Mailing Address
First Line	:	3411 S CAMINO SECO UNIT 550
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85730-2842
Country	:	US
Telephone Number	:	509-981-8571
Fax Number	:

Provider Business Practice Location Address
First Line	:	3411 S CAMINO SECO UNIT 550
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85730-2842
Country	:	US
Telephone Number	:	509-981-8571
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2022
Last Update Date	:	05/26/2026

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