Individual provider · Type 1 NPI
Mirta Elvire Innis-Thompson, LCSW-C, LICSW, DSW
Clinical Social Worker · North Bethesda, MD
Practice location
11140 Rockville Pike Ste 480-E
North Bethesda, MD 20852-3106
Fax (240) 403-7629
Mailing address
12529 Grey Fox Ln
Potomac, MD 20854-1903
Other practice locations
- 12529 Grey Fox Ln, Potomac, MD 20854-1903 · (240) 338-0856
- 10880 Wilshire Blvd Ste 1101, Los Angeles, CA 90024-4112 · (202) 763-9178
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 200001933 (DC) |
| Clinical Social Worker Primary | 1041C0700X | 28198 (MD) |
| Clinical Social Worker | 1041C0700X | 101906 (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 1386983393
Mirta Elvire Innis-Thompson, LCSW-C, LICSW, DSW's National Provider Identifier is 1386983393, issued on Feb 11, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Bethesda, MD. The record was last updated on Aug 25, 2025.