Thompson, Tina Nicole

Thompson, Tina Nicole is an individual health care provider with primary practice located at 2949 Crouse Ln Ste 200 , Burlington NC 27215-9351. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thompson, Tina Nicole can be contacted via phone (336) 270-6896.

Contact Information

Primary practice address
2949 Crouse Ln Ste 200 Burlington NC 27215-9351
Fax: (336) 270-8066
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003124 North Carolina

Profile Details

NPI number 1356515027
LBN Legal business name Thompson, Tina Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2008
Last updated Jul 5th, 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 1356515027 NPPES
North Carolina MEDICAID 6002354

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