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NPI Code Detail

MEDICARE: MRS. MICHELLE DENISE KING-THOMPSON LCSW

MEDICARE: MRS. MICHELLE DENISE KING-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 Worker52431TX

General Provider Information

NPI Number : 1841580206
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE DENISE KING-THOMPSON LCSW
Provider Business Mailing Address
First Line : 2021 GUADALUPE ST STE 260
Second Line :
City : AUSTIN
State : TX
Zip : 78705-5654
Country : US
Telephone Number : 972-748-8982
Fax Number :
Provider Business Practice Location Address
First Line : 2021 GUADALUPE ST STE 260
Second Line :
City : AUSTIN
State : TX
Zip : 78705-5654
Country : US
Telephone Number : 972-748-8982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2011
Last Update Date : 06/16/2026

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Directions to “ MRS. MICHELLE DENISE KING-THOMPSON LCSW” Practice Location

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