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

Individual provider Professional Counselor · NPI 1215440532

Dr. Theodore Thompson Jr., LCSW, PHD is a Professional Counselor in Bolingbrook, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
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

404 W Boughton Rd Ste B
Bolingbrook, IL 60440-1898
Phone: (630) 685-4053
Fax: (630) 596-1478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149005238 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 149005238 (IL)

Record details

NPI number1215440532
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , PHD
Sole proprietorNo
NPI enumeratedNovember 8, 2017
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022

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