Individual
KIMBERLEY D THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
230 DERONDA ST, AMERY, WI 54001-1412
(715) 268-8000
Mailing address
PO BOX 670, ELLSWORTH, WI 54011-0670
(715) 273-6770
(715) 273-6862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6956-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43585400
—
WI
01
—
920461025361
PREFERRED ONE
MN
01
—
99F89TH
BLUECROSS BLUESHIELD
MN
01
—
HP69910
HEALTHPARTNERS
MN
Enumeration date
11/15/2006
Last updated
07/21/2022
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