| Marcia Thompson, Lcsw | |
|
1106 Scotch Dr Gastonia NC 28054-1523 | |
| (704) 674-6284 | |
| (980) 320-0301 |
| Full Name | Marcia Thompson, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1106 Scotch Dr, Gastonia, North Carolina |
| Authorized Official Name and Position | Marcia Todd Thompson (OWNER/ PROVIDER) |
| Authorized Official Contact | 7046746284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcia Thompson, Lcsw 1106 Scotch Dr Gastonia NC 28054-1523 Ph: (704) 674-6284 | Marcia Thompson, Lcsw 1106 Scotch Dr Gastonia NC 28054-1523 Ph: (704) 674-6284 |
| NPI Number | 1063861334 |
|---|---|
| Provider Enumeration Date | 06/08/2016 |
| Last Update Date | 06/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063861334 | NPI | - | NPPES |
| PTAN 2853244 | Other | NC | MEDICARE |
| 6003070 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C004111 (North Carolina) | Primary |
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