Provider Demographics
NPI:1821816992
Name:THOMPSON, KAY (LCSW)
Entity type:Individual
Prefix:
First Name:KAY
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:X
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 WILSON AVE # 324F
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-3103
Mailing Address - Country:US
Mailing Address - Phone:773-988-4188
Mailing Address - Fax:
Practice Address - Street 1:324 WILSON AVE # 324F
Practice Address - Street 2:
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-3103
Practice Address - Country:US
Practice Address - Phone:773-988-4188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-28
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical