CARDETRA THOMPSON (NPI# 1871968909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871968909 |
| Entity Type | Individual |
| Full Name | CARDETRA THOMPSON |
| Credential | LCSW-BACS |
| Practice Address |
1724 N Burnside Ave Ste 7 Gonzales LA 70737-2157 |
| Mailing Address |
Po Box 541 Geismar LA 70734-0541 |
| Practice Telephone | 2253235996 |
| Practice Fax Number | 2256446261 |
| Mailing Telephone | 2253235996 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6083 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1807869 | 05 |
| Street Address |
1724 N BURNSIDE AVE STE 7 |
| City | GONZALES |
| State | LA |
| Zip Code | 70737-2157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273896 | Melissa Aubert | Counselor | 1724 N Burnside Ave Ste 7, Gonzales, LA 70737-2157 | 2018-01-23 |
| 1265930465 | Donovan Thierry | Counselor | 1724 N Burnside Ave Ste 7, Gonzales, LA 70737-2157 | 2018-01-23 |
| 1407394414 | Averi Strickland | Counselor | 1724 N Burnside Ave Ste 7, Gonzales, LA 70737-2157 | 2017-02-09 |
| 1831648377 | Jodeci Delahoussaye | Counselor | 1724 N Burnside Ave Ste 7, Gonzales, LA 70737-2157 | 2016-09-26 |
| 1841748290 | Kelsey Smith | Counselor | 1724 N Burnside Ave Ste 7, Gonzales, LA 70737-2157 | 2016-09-14 |
| 1588117030 | Annie Cash- Harris | Counselor | 1724 N Burnside Ave Ste 7, Gonzales, LA 70737-2157 | 2016-08-02 |
| 1427401678 | Cathy Corbin | Counselor | 1724 N Burnside Ave Ste 7, Gonzales, LA 70737-2157 | 2016-07-22 |
| 1124479142 | Roxanna Johnson | Counselor | 1724 N Burnside Ave Ste 7, Gonzales, LA 70737-2157 | 2016-06-30 |
| 1437500808 | Ashley White | Counselor | 1724 N Burnside Ave Ste 7, Gonzales, LA 70737-2157 | 2016-06-28 |
| 1598116147 | Meagan Range-carrier | Counselor | 1724 N Burnside Ave Ste 7, Gonzales, LA 70737-2157 | 2016-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245849322 | Specialized Social Work Solutions | Social Worker | 39094 N Angelle Ct Ofc, Gonzales, LA 70737-6192 | 2020-07-24 |
| 1316507353 | Sonya Rena Mead | Social Worker | 41238 Bayou Segnette Ave, Gonzales, LA 70737-8597 | 2019-06-20 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| 1346625662 | Heidi Hartdegen | Social Worker | 12320 Hwy 44 Bldg 3d, Gonzales, LA 70734 | 2015-07-28 |
| 1053718429 | David Frank Vogt | Social Worker | 41080 Lakeway Cove Ave, Gonzales, LA 70737-8947 | 2014-12-01 |
| 1518367796 | Diego Topete | Social Worker | 1254 Cabernet Dr, Gonzales, CA 93926-9421 | 2014-08-25 |
| 1689004145 | Lajuan Delmore | Social Worker | 1315 S Sanctuary Ave, Gonzales, LA 70737-4274 | 2013-11-20 |
| 1437598919 | Tellis Terrell Abram | Social Worker | 1914 S Gaudin Ave, Gonzales, LA 70737-4147 | 2013-06-18 |
| 1780929174 | Lashawnda Burks | Social Worker | 2001 S Commerce Ave, Gonzales, LA 70737-5726 | 2012-12-11 |
| Find all providers in GONZALES | ||||
Please comment or provide details below to improve the information on CARDETRA THOMPSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.