| Maricia Thompson Lcsw Pllc | |
|
13855 Springfield Blvd Springfield Gardens NY 11413-2600 | |
| (347) 247-6631 | |
| (917) 387-8469 |
| Full Name | Maricia Thompson Lcsw Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13855 Springfield Blvd, Springfield Gardens, New York |
| Authorized Official Name and Position | Maricia Toni Thompson (OWNER) |
| Authorized Official Contact | 3472476631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maricia Thompson Lcsw Pllc 13855 Springfield Blvd Springfield Gardens NY 11413-2600 Ph: (347) 247-6631 | Maricia Thompson Lcsw Pllc 13855 Springfield Blvd Springfield Gardens NY 11413-2600 Ph: (347) 247-6631 |
| NPI Number | 1952870875 |
|---|---|
| Provider Enumeration Date | 11/20/2018 |
| Last Update Date | 02/05/2022 |
| Certification Date | 02/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952870875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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