Provider Demographics
NPI:1326822032
Name:THOMPSON, KATRICIA L (LCSW)
Entity type:Individual
Prefix:MS
First Name:KATRICIA
Middle Name:L
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 E CHESTNUT HILL RD STE 209
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4047
Mailing Address - Country:US
Mailing Address - Phone:302-265-4025
Mailing Address - Fax:
Practice Address - Street 1:153 E CHESTNUT HILL RD STE 209
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4047
Practice Address - Country:US
Practice Address - Phone:302-265-4025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-23
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker