Provider Demographics
NPI:1649409798
Name:THOMPSON, RENEE LEBEAU (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:LEBEAU
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 1:7330 LEXINGTON LN
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-7024
Mailing Address - Country:US
Mailing Address - Phone:727-538-0909
Mailing Address - Fax:
Practice Address - Street 1:7330 LEXINGTON LN
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-7024
Practice Address - Country:US
Practice Address - Phone:727-538-0909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL94071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical