CHARLOS THOMPSON, LCSW, PHD

Social Worker - Clinical

Active Individual
NPI: 1114285814

Practice Address

2215 PORTLAND AVE
Louisville, KY 40212

Phone: (502) 774-8631

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 104085 (CA)

Frequently Asked Questions

NPI 1114285814 is the National Provider Identifier for CHARLOS THOMPSON, LCSW, PHD, a Social Worker - Clinical provider located in Louisville, KY. This NPI was enumerated on May 1, 2012.
CHARLOS THOMPSON, LCSW, PHD practices at 2215 PORTLAND AVE, Louisville, KY 40212.

Quick Facts

NPI
1114285814
Type
Individual
Enumerated
May 1, 2012
Last Updated
Sep 12, 2025

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