Charlos Vernell Thompson, LCSW, PHD in Louisville, KY

Charlos Vernell Thompson, LCSW, PHD is a medicare enrolled "Social Worker - Clinical" provider in Louisville, Kentucky. His current practice location is 2215 Portland Ave, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 774-8631.

Charlos Vernell Thompson is licensed to practice in California (license number 104085) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114285814.

Contact Information

	Charlos Vernell Thompson, LCSW, PHD
	2215 Portland Ave, Louisville, KY 40212-1033
	(502) 774-8631
	(502) 996-8309

Map and Direction

Healthcare Provider's Profile

Full Name	Charlos Vernell Thompson
Gender	Male
Speciality	Social Worker - Clinical
Location	2215 Portland Ave, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114285814
Provider Enumeration Date: 05/01/2012
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID: 8224353602
Enrollment ID: I20221028000525

Medical Identifiers

Medical identifiers for Charlos Vernell Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114285814	NPI	-	NPPES
12731602	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	3534 (Kentucky)	Secondary
1041C0700X	Social Worker - Clinical	104085 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charlos Vernell Thompson allows following entities to bill medicare on his behalf.

Entity Name	Family Health Centers Of San Diego, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923

Entity Name	Cyti Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679172290 PECOS PAC ID: 4587012950 Enrollment ID: O20231122002919

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charlos Vernell Thompson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Charlos Vernell Thompson, LCSW, PHD Po Box 950244, Louisville, KY 40295-0244 Ph: (812) 218-8926	Charlos Vernell Thompson, LCSW, PHD 2215 Portland Ave, Louisville, KY 40212-1033 Ph: (502) 774-8631

Reviews and Comments

Social Worker in Louisville, KY

Jennifer L Buckland-stern, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Dsi, 635 S. Third St., Louisville, KY 40202 Phone: 502-561-1314 Fax: 502-561-1840
Julie Eifler Corbett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10101 Linn Station Rd Ste 600, Louisville, KY 40223 Phone: 502-589-8600 Fax: 502-287-0062
Shaquilla N Cooper, DSW, TCM, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1828 Bolling Ave, Louisville, KY 40210 Phone: 502-536-7245 Fax: 502-963-5135
Mary O'shea, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1169 Eastern Pkwy Ste 1166, Louisville, KY 40217 Phone: 502-451-8262
Ms. Lisa Shapiro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8135 New Lagrange Rd, Louisville, KY 40222 Phone: 502-451-7602
Ms. Elizabeth Ann Alvarado, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 S 1st St, Louisville, KY 40203 Phone: 502-585-9444 Fax: 502-585-9466
David Huey Cook, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 455 S 4th St Ste 842, Louisville, KY 40202 Phone: 502-584-7216 Fax: 502-585-5373

Charlos Vernell Thompson, LCSW, PHD - Medicare Clinical Social Worker in Louisville, KY