MRS. TANYA ROXANNE THOMPSON (LCSW) – Clinical Social Worker, NPI 1609162809

MRS. TANYA ROXANNE THOMPSON (LCSW) is a healthcare provider. based in Jacksonville, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW 12430 (FL). The NPI Number for MRS. TANYA ROXANNE THOMPSON (LCSW) is 1609162809

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TANYA ROXANNE THOMPSON (LCSW)
NPI
1609162809
Phone
(904) 383-8382
Address
3056 MARBON ESTATES LN S
Enumeration Date
26 June 2011
Last Update Date
8 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9047766555
Graduation Year
2010 (16 years ago)
PAC ID
7517276876
Group Practice PAC ID
0042667362
Professional Enrollment ID
I20151027003324
Address ID
FL322165871JA4190XRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for MRS. TANYA ROXANNE THOMPSON (LCSW)

  • 3056 MARBON ESTATES LN S

    JACKSONVILLE, FL 322234828

    Phone: (904) 383-8382

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151027003324IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32223)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042667362View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
Nurse PractitionerFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does MRS. TANYA ROXANNE THOMPSON (LCSW) have a public NPI I can cite?
Public records show MRS. TANYA ROXANNE THOMPSON (LCSW) under NPI 1609162809.
Does the public listing show MRS. TANYA ROXANNE THOMPSON (LCSW) as active?
MRS. TANYA ROXANNE THOMPSON (LCSW)'s NPI record reflects an active status in NPPES.
Which specialty label fits MRS. TANYA ROXANNE THOMPSON (LCSW)?
NPPES ties MRS. TANYA ROXANNE THOMPSON (LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. TANYA ROXANNE THOMPSON (LCSW)?
MRS. TANYA ROXANNE THOMPSON (LCSW) is associated with Jacksonville, Florida in the same public data insurers reference.
Can I export MRS. TANYA ROXANNE THOMPSON (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

San Jose Boulevard, San Jose, Jacksonville, Duval County, Florida, 32217, United States
NPI: 1730182940
315 SE 14th St
NPI: 1104829274
San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States
NPI: 1023015062

DOROTHY BENSON MCGOWN (LCSW)

Clinical Social Worker
4161, Carmichael Avenue, Midtown Center, Bridgewater, Jacksonville, Duval County, Florida, 32207, United States
NPI: 1225021744

MR. IRA GRANN (LCSW)

Clinical Social Worker
9913, Moorings Drive, Goodbys, Jacksonville, Duval County, Florida, 32257, United States
NPI: 1114911443

Unknown Individual

Addiction (Substance Use Disorder) Counselor
5070, Attleboro Street, Murray Hill, Jacksonville, Duval County, Florida, 32205, United States
NPI: 1871587360

BETH B PAGE (LCSW)

Clinical Social Worker
R. G. Skinner Parkway, Stockade, Jacksonville, Duval County, Florida, 32256, United States
NPI: 1538157375

KAREN ANN AVESATO (LCSW)

Clinical Social Worker
Lakeside Drive, Saint Johns Park, Jacksonville, Duval County, Florida, 32210, United States
NPI: 1588653984

VICTORIA MANUEL (LCSW)

Clinical Social Worker
13400, Sutton Park Drive South, Jacksonville, Duval County, Florida, 32224, United States
NPI: 1477543114