Provider Demographics
NPI:1326822032
Name:THOMPSON, KATRICIA LANEA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:KATRICIA
Middle Name:LANEA
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 QUEEN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-2030
Mailing Address - Country:US
Mailing Address - Phone:443-523-8574
Mailing Address - Fax:
Practice Address - Street 1:27 QUEEN AVE
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-2030
Practice Address - Country:US
Practice Address - Phone:443-523-8574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker