Individual
CHARLOS VERNELL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, PHD
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 996-8309
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(812) 218-8926
(812) 218-8930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
104085
CA
1041C0700X
Clinical Social Worker
3534
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12731602
—
KY
Enumeration date
05/01/2012
Last updated
09/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us