Individual provider · Type 1 NPI
Tracy Mitchell Thompson, LICSW
Clinical Social Worker · Pike, NH
Practice location
2274 Mount Moosilauke Hwy
Pike, NH 03780-5615
Fax (603) 989-3169
Mailing address
PO Box 175
Haverhill, NH 03765-0175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 19021 (MN) |
| Clinical Social Worker | 1041C0700X | 089.0091985 (VT) |
| Clinical Social Worker Primary | 1041C0700X | 1778 (NH) |
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 1801022132
Tracy Mitchell Thompson, LICSW's National Provider Identifier is 1801022132, issued on Jun 1, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pike, NH. The record was last updated on Oct 13, 2014.