Provider Demographics
NPI:1396846226
Name:THOMPSON, LINDA S (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:S
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:644 BARTELL DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-5703
Mailing Address - Country:US
Mailing Address - Phone:757-382-9763
Mailing Address - Fax:
Practice Address - Street 1:411 CEDAR RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-5566
Practice Address - Country:US
Practice Address - Phone:757-548-8848
Practice Address - Fax:757-549-1347
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040036461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical