Provider Demographics
NPI:1255686176
Name:THOMPSON, KALI L (LSW)
Entity Type:Individual
Prefix:
First Name:KALI
Middle Name:L
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 N PRINCE ST STE 204
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-4062
Mailing Address - Country:US
Mailing Address - Phone:717-406-3877
Mailing Address - Fax:
Practice Address - Street 1:237 N PRINCE ST STE 204
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-4062
Practice Address - Country:US
Practice Address - Phone:717-406-3877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CW0183751041C0700X
PASW1286511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical