Individual provider · Type 1 NPI

Theodore Thompson Jr., LCSW, PhD

Clinical Social Worker · Bolingbrook, IL

NPI number 1215440532 Active

Practice location

404 W Boughton Rd Ste B
Bolingbrook, IL 60440-1898

Fax (630) 596-1478

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X149005238 (IL)
Clinical Social Worker Primary 1041C0700X149005238 (IL)

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 1215440532

Theodore Thompson Jr., LCSW, PhD's National Provider Identifier is 1215440532, issued on Nov 8, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bolingbrook, IL. The record was last updated on Feb 15, 2022.