Provider Demographics
NPI:1295074490
Name:THOMPSON, NICOLE H (LCSW)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:H
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 1:4910 AIRPORT AVE STE D
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-5759
Mailing Address - Country:US
Mailing Address - Phone:281-239-1300
Mailing Address - Fax:281-239-0828
Practice Address - Street 1:2535 CORDES DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1386
Practice Address - Country:US
Practice Address - Phone:281-276-4400
Practice Address - Fax:281-239-0828
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010946541041C0700X
TX1091711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical