Mr Vivian Stanford Thompson, LCSWR is a medicare enrolled "Social Worker - Clinical" provider in Brooklyn, Ny, New York. His current practice location is
26 Court Street, Suite 410 D, Brooklyn, Ny, New York. You can reach out to his office (for appointments etc.) via phone at
(646) 263-6227.
Mr Vivian Stanford Thompson is licensed to practice in New York (license number R059610) 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 1629280136.
Healthcare Provider's Profile
Full Name | Mr Vivian Stanford Thompson |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 26 Court Street, Brooklyn, Ny, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629280136
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 10/03/2017
Medicare PECOS Information:
- PECOS PAC ID: 6608821590
- Enrollment ID: I20050314000646
Medical Identifiers
Medical identifiers for Mr Vivian Stanford Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629280136 | NPI | - | NPPES |
1111003 | Other | NY | AETNA |
02644324 | Medicaid | NY | |
MH00179 | Other | NY | NYHTC HEALTH BENEFIT FUND |
000370015569 | Other | NY | HEALTH PLUS, INC. |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | R059610 (New York) | Primary |
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. Mr Vivian Stanford 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 |
Mr Vivian Stanford Thompson, LCSWR 26 Court St Ste 1502, Brooklyn, NY 11242-1115 Ph: (917) 204-7852 | Mr Vivian Stanford Thompson, LCSWR 26 Court Street, Suite 410 D, Brooklyn, Ny, NY 11242 Ph: (646) 263-6227 |
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