Charles R Thompson-shealy, LCSW is a
Social Worker - Clinical based in Kingston, New York. Charles R Thompson-shealy is licensed to practice in New York (license number 087851) and his current practice location is
260 Kings Mall Ct # 251, Kingston, New York. He can be reached at his office (for appointments etc.) via phone at
(646) 362-5194.
NPI number for Charles R Thompson-shealy is 1740613322 and his current mailing address is 260 Kings Mall Ct # 251, Kingston, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740613322.
Healthcare Provider's Profile
| Full Name | Charles R Thompson-shealy |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 260 Kings Mall Ct # 251, Kingston, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740613322
- Provider Enumeration Date: 08/19/2013
- Last Update Date: 03/02/2023
Medical Identifiers
Medical identifiers for Charles R Thompson-shealy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740613322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 0 (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 087851 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles R Thompson-shealy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charles R Thompson-shealy, LCSW
260 Kings Mall Ct # 251,
Kingston, NY 12401-1574
Ph: (646) 362-5194 | Charles R Thompson-shealy, LCSW
260 Kings Mall Ct # 251,
Kingston, NY 12401-1574
Ph: (646) 362-5194 |
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