MEDICARE: PATRICIA LUCILLE THOMPSON MSW

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	1041C0700X	Clinical Social Worker	00303	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	271617-000	OTHER	MD	MAGELLAN
2	281689	OTHER	MD	MAMSI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	5695219	OTHER		AETNA
5	035271	OTHER	MD	JOHNS HOPKINS HEALTHCARE
6	1001026243	OTHER		APS HEALTHCARE
7	2679544	OTHER	MD	CIGNA
8	1184660854	OTHER	MD	UNITED HEALTHCARE
9	T541-0045	OTHER	DC	CAREFIRST BCBS

General Provider Information

NPI Number	:	1184660854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA LUCILLE THOMPSON MSW

Provider Business Mailing Address
First Line	:	7411 ALLMONT RD
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-2846
Country	:	US
Telephone Number	:	410-496-1196
Fax Number	:	410-496-1196

Provider Business Practice Location Address
First Line	:	7411 ALLMONT RD
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-2846
Country	:	US
Telephone Number	:	410-496-1196
Fax Number	:	410-496-1196

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	07/21/2022

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