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

Nikita Marie Thompson

Individual provider Clinical Social Worker · NPI 1003538117

Nikita Marie Thompson is a Clinical Social Worker in Johnson City, Tennessee. Qualified in 2023, 3 years ago. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2022
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Practice location Address checks out

917 W Walnut St
Johnson City, TN 37604-6527
Phone: (423) 439-6464
Fax: (423) 439-7118
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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 9952 (TN)

Record details

NPI number1003538117
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2022
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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