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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. VIVIAN STANFORD THOMPSON, LCSWR

Active Sole Proprietor

MR. VIVIAN STANFORD THOMPSON, LCSWR is a Clinical Social Worker healthcare provider located in BROOKLYN, NY, New York. NPI 1629280136 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BROOKLYN, NY, NY

Registration Details

NPI Number
1629280136
Provider Type
Individual
Gender
Male
NPI Issued
May 4, 2007 (19.288136766976 yrs)
Last Updated
Oct 3, 2017
License
R059610 (NY)
Sole Proprietor
Yes

Practice Information

Address
26 COURT STREET
SUITE 410 D
BROOKLYN, NY, NY, 11242
Browse NY providers · Browse ZIP 11242
Phone
6462636227
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.