Provider Demographics
NPI:1770219750
Name:THOMPSON, JALONDA NICHELLE (LCSWA)
Entity type:Individual
Prefix:MS
First Name:JALONDA
Middle Name:NICHELLE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 5TH AVE W
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-4101
Mailing Address - Country:US
Mailing Address - Phone:828-301-4622
Mailing Address - Fax:336-728-4355
Practice Address - Street 1:709 5TH AVE W
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4101
Practice Address - Country:US
Practice Address - Phone:828-301-4622
Practice Address - Fax:336-728-4355
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0168991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical