Individual provider · Type 1 NPI

Latisha Dimetria Thompson

Clinical Social Worker · Philadelphia, PA

NPI number 1013770544 Active

Practice location

3900 Woodland Ave
Philadelphia, PA 19104-4551

Call (215) 823-5800 Map

Mailing address

6025 N Marvine St
Philadelphia, PA 19141-3207

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW137326 (PA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1013770544

Latisha Dimetria Thompson's National Provider Identifier is 1013770544, issued on Feb 6, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 6, 2024.