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

Individual provider Clinical Social Worker · NPI 1114285814

Charlos Vernell Thompson, LCSW, PHD is a Clinical Social Worker in Louisville, Kentucky. Practices as a sole proprietor and works from 4 locations. Licensed in California and Kentucky.

Licensed in
CA, KY
In the registry since
2012
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.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2215 Portland Ave
Louisville, KY 40212-1033
Phone: (502) 774-8631
Fax: (502) 996-8309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1250 6th Ave Ste 100, San Diego, CA 92101-4368 — (619) 515-2430
  • 1550 Broadway, San Diego, CA 92101-5713 — (619) 515-2525
  • 914 E Broadway, Louisville, KY 40204-1037 — (502) 589-8085

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 104085 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 3534 (KY)

Record details

NPI number1114285814
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , PHD
Sole proprietorYes
NPI enumeratedMay 1, 2012
Last updated in NPPESSeptember 12, 2025
Certification dateAugust 22, 2023

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