Charles R Thompson-shealy, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kingston, New York. His current practice location is
260 Kings Mall Ct # 251, Kingston, New York. You can reach out to his office (for appointments etc.) via phone at
(646) 362-5194.
Charles R Thompson-shealy is licensed to practice in New York (license number 087851) 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 1740613322.
Healthcare Provider's Profile
Full Name | Charles R Thompson-shealy |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 260 Kings Mall Ct # 251, Kingston, 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: 1740613322
- Provider Enumeration Date: 08/19/2013
- Last Update Date: 03/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 0244569929
- Enrollment ID: I20190905000657
Medical Identifiers
Medical identifiers for Charles R Thompson-shealy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740613322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 0 (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 087851 (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. Charles R Thompson-shealy 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 |
Charles R Thompson-shealy, LCSW 260 Kings Mall Ct # 251, Kingston, NY 12401-1574 Ph: (646) 362-5194 | Charles R Thompson-shealy, LCSW 260 Kings Mall Ct # 251, Kingston, NY 12401-1574 Ph: (646) 362-5194 |
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