Provider Demographics
NPI:1487202842
Name:ANNE M. THOMPSON, LLC
Entity Type:Organization
Organization Name:ANNE M. THOMPSON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-429-5014
Mailing Address - Street 1:160 DERBY ST STE 338
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-4030
Mailing Address - Country:US
Mailing Address - Phone:617-429-5014
Mailing Address - Fax:
Practice Address - Street 1:160 DERBY ST STE 338
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4030
Practice Address - Country:US
Practice Address - Phone:617-429-5014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty