Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles R Thompson-Shealy, LCSW

Individual provider Mental Health Counselor · NPI 1740613322

Charles R Thompson-Shealy, LCSW is a Mental Health Counselor in Kingston, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

260 Kings Mall Ct # 251
Kingston, NY 12401-1574
Phone: (646) 362-5194
Fax: (646) 980-4704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 087851 (NY)
Mental Health Counselor Taxonomy 101YM0800X · Licence 0

Record details

NPI number1740613322
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 19, 2013
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023

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