Provider Demographics
NPI:1093422909
Name:THOMPSON, ABIGAIL MICHELLE (LMSW)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:MICHELLE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2195 E 53RD ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-2705
Mailing Address - Country:US
Mailing Address - Phone:309-797-7700
Mailing Address - Fax:563-324-2437
Practice Address - Street 1:2195 E 53RD ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-2705
Practice Address - Country:US
Practice Address - Phone:309-797-7700
Practice Address - Fax:563-324-2437
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool