Individual provider · Type 1 NPI

Charlos Vernell Thompson, LCSW, PhD

Clinical Social Worker · Louisville, KY

NPI number 1114285814 Active

Practice location

2215 Portland Ave
Louisville, KY 40212-1033

Call (502) 774-8631 Map

Fax (502) 996-8309

Mailing address

PO Box 950244
Louisville, KY 40295-0244

Other practice locations

  • 914 E Broadway, Louisville, KY 40204-1037 · (502) 589-8085
  • 1250 6th Ave Ste 100, San Diego, CA 92101-4368 · (619) 515-2430
  • 1550 Broadway, San Diego, CA 92101-5713 · (619) 515-2525

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X3534 (KY)
Clinical Social Worker Primary 1041C0700X104085 (CA)

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 1114285814

Charlos Vernell Thompson, LCSW, PhD's National Provider Identifier is 1114285814, issued on May 1, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Sep 12, 2025.