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NPI Code Detail

MEDICARE: MS. AMANDA MARIE THOMPSON LMSW

MEDICARE: MS. AMANDA MARIE THOMPSON 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
1104100000XSocial WorkerSW144198PA

General Provider Information

NPI Number : 1750213898
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMANDA MARIE THOMPSON LMSW
Provider Business Mailing Address
First Line : PO BOX 1062
Second Line :
City : KINGSTON
State : PA
Zip : 18704-0062
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 335 S FRANKLIN ST
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-3808
Country : US
Telephone Number : 570-825-6425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/09/2026

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