Provider Demographics
NPI:1114037280
Name:THOMPSON, DONA LANSING (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:DONA
Middle Name:LANSING
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 RAFT ISLAND DR NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-5918
Mailing Address - Country:US
Mailing Address - Phone:253-265-6371
Mailing Address - Fax:253-265-0074
Practice Address - Street 1:3309 56TH ST NW
Practice Address - Street 2:SUTIE 101
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-8572
Practice Address - Country:US
Practice Address - Phone:253-851-3141
Practice Address - Fax:253-851-3155
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000062461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical