# NICOLE JANE THOMPSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588824478
- **Gender:** F
- **Credential:** PMHNP-BC,LCSW, LICSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 076873 | NY | — |
| 1041C0700X | Clinical Social Worker | 114912 | MA | — |
| 1041C0700X | Clinical Social Worker | 53948 | TX | — |
| 1041C0700X | Clinical Social Worker | C013102 | NC | — |
| 1041C0700X | Clinical Social Worker | SW11908 | FL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5018004 | NC | Yes |

## Other

- **Enumeration date:** 06/13/2008
- **Last updated:** 01/07/2025