Thompson, Debra

Thompson, Debra is an individual health care provider with primary practice located at 665 W Warren Ave , Longwood FL 32750-4004. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Thompson, Debra can be contacted via phone (800) 614-4124.

Contact Information

Primary practice address
665 W Warren Ave Longwood FL 32750-4004
Phone: (800) 614-4124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW10977 Florida

Profile Details

NPI number 1770725509
LBN Legal business name Thompson, Debra
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2009
Last updated May 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770725509 NPPES
Florida MEDICAID 000941600

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