Provider Demographics
NPI:1275615874
Name:THOMPSON, CARRIE (MSW,ASW)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MSW,ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9130 TODOS SANTOS DR
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-4818
Mailing Address - Country:US
Mailing Address - Phone:973-479-0428
Mailing Address - Fax:
Practice Address - Street 1:9625 CUYAMACA ST
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-2674
Practice Address - Country:US
Practice Address - Phone:619-258-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker