Thompson, Wimberly Beth

Thompson, Wimberly Beth is an sole proprietor health care provider with primary practice located at 307 High St , Maryville TN 37804-5847. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thompson, Wimberly Beth can be contacted via phone (865) 804-4189.

Contact Information

Primary practice address
307 High St Maryville TN 37804-5847
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW3671 Tennessee

Profile Details

NPI number 1972502631
LBN Legal business name Thompson, Wimberly Beth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2005
Last updated Nov 30th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972502631 NPPES
Tennessee MEDICAID 3920217

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