| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHEYENNE MARY THOMPSON | 1376271692 | 2022-08-14 |
Cheyenne Mary Thompson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1376271692. Registration indicates Cheyenne Mary Thompson is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Mrs. Cheyenne Mary Thompson MSW, LSW |
| Other Provider Name | Cheyenne Mary Smolko |
| Practice Office Address | 1315 S ALLEN ST STE 303 STATE COLLEGE, PA US |
| Practice Office Telephone | 8144195463 |
| Mailing Address | 396 FOUNTAIN RD SNOW SHOE, PA 168748809 US |
| Business Telephone | 8145716165 |
| Code | Practice | License No State |
|---|---|---|
| 104100000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | SW139323
PA |