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NPI Code Detail

MEDICARE: NICOLE H THOMPSON LCSW

MEDICARE: NICOLE H THOMPSON LCSW
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
11041C0700XClinical Social Worker6801094654MI
21041C0700XClinical Social Worker109171TX

General Provider Information

NPI Number : 1295074490
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE H THOMPSON LCSW
Provider Business Mailing Address
First Line : 4910 AIRPORT AVE STE D
Second Line :
City : ROSENBERG
State : TX
Zip : 77471-5759
Country : US
Telephone Number : 281-239-1300
Fax Number : 281-239-0828
Provider Business Practice Location Address
First Line : 2535 CORDES DR
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-1386
Country : US
Telephone Number : 281-276-4400
Fax Number : 281-239-0828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2013
Last Update Date : 09/20/2023

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Directions to “ NICOLE H THOMPSON LCSW” Practice Location

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