Brittany Thompson Lcsw | |
3326 Durham Chapel Hill Blvd Ste 130b Durham NC 27707-6244 | |
(919) 701-2969 | |
Not Available |
Full Name | Brittany Thompson Lcsw |
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Speciality | Social Worker |
Location | 3326 Durham Chapel Hill Blvd Ste 130b, Durham, North Carolina |
Authorized Official Name and Position | Brittany Thompson (OWNER) |
Authorized Official Contact | 9197012969 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brittany Thompson Lcsw 6814 Guess Rd Hillsborough NC 27278-9186 Ph: (919) 701-2969 | Brittany Thompson Lcsw 3326 Durham Chapel Hill Blvd Ste 130b Durham NC 27707-6244 Ph: (919) 701-2969 |
NPI Number | 1366922650 |
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Provider Enumeration Date | 08/16/2018 |
Last Update Date | 01/17/2020 |
Certification Date | 01/17/2020 |
Medicare PECOS PAC ID | 5597190827 |
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Medicare Enrollment ID | O20200115000876 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366922650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C009323 (North Carolina) | Primary |
Provider Name | Brittany H Thompson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689912578 PECOS PAC ID: 2961728399 Enrollment ID: I20150303000460 |
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