Provider Demographics
NPI:1598116048
Name:THOMPSON, SETH ERIC (MSW)
Entity Type:Individual
Prefix:MR
First Name:SETH
Middle Name:ERIC
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:579 COURTLANDT AVENUE
Mailing Address - Street 2:
Mailing Address - City:BEONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451
Mailing Address - Country:US
Mailing Address - Phone:718-485-2100
Mailing Address - Fax:
Practice Address - Street 1:579 COURTLANDT AVENUE
Practice Address - Street 2:
Practice Address - City:BEONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-485-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker