Todd Thompson, Marcia A.

Todd Thompson, Marcia A. is an sole proprietor health care provider with primary practice located at 1106 Scotch Dr , Gastonia NC 28054-1523. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Todd Thompson, Marcia A. can be contacted via phone (704) 674-6284.

Contact Information

Primary practice address
1106 Scotch Dr Gastonia NC 28054-1523
Phone: (704) 674-6284
Fax: (980) 320-0301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004111 North Carolina

Profile Details

NPI number 1619920055
LBN Legal business name Todd Thompson, Marcia A.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Apr 15th, 2015 - about 11 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 1619920055 NPPES
North Carolina MEDICAID 6003070
North Carolina Other 2853544

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