Provider Demographics
NPI:1568659555
Name:THOMPSON-STOKES, JUDIE (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:JUDIE
Middle Name:
Last Name:THOMPSON-STOKES
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 TOWANDA AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-7827
Mailing Address - Country:US
Mailing Address - Phone:410-383-5100
Mailing Address - Fax:410-383-4973
Practice Address - Street 1:3101 TOWANDA AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-7827
Practice Address - Country:US
Practice Address - Phone:410-383-5100
Practice Address - Fax:410-383-4973
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD065771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD588991000Medicaid