MEDICARE: DARCY THOMPSON MSW, APSW

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

General Provider Information

NPI Number	:	1972381184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARCY THOMPSON MSW, APSW

Provider Business Mailing Address
First Line	:	3128 N 92ND ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-3502
Country	:	US
Telephone Number	:	414-218-4930
Fax Number	:

Provider Business Practice Location Address
First Line	:	7101 N GREEN BAY AVE
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-2800
Country	:	US
Telephone Number	:	801-655-5450
Fax Number	:

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

Provider Enumeration Date	:	09/19/2023
Last Update Date	:	09/19/2023

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