Provider Demographics
NPI:1629652169
Name:THOMPSON, JAMILLA N (LSW)
Entity Type:Individual
Prefix:
First Name:JAMILLA
Middle Name:N
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 ELLISDALE RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08501-1509
Mailing Address - Country:US
Mailing Address - Phone:732-309-7230
Mailing Address - Fax:
Practice Address - Street 1:51 ELLISDALE RD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08501-1509
Practice Address - Country:US
Practice Address - Phone:732-309-7230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker