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CHARLOS VERNELL THOMPSON LCSW, PHD
NPI 1114285814
Social Worker - Clinical in Louisville, KY

Active since May 01, 2012PECOS Enrolled
2215 PORTLAND AVE, LOUISVILLE, KY 40212(502) 774-8631(502) 996-8309 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2025, Aug 22, 2023, Jun 16, 2018 and 1 more (4 updates tracked since 2018).

About Charlos Vernell Thompson Lcsw, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLOS VERNELL THOMPSON LCSW, PHD (NPI 1114285814) is an individual clinical provider in Louisville, Kentucky, licensed in California (104085) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1114285814
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCHARLOS VERNELL THOMPSONCredential: LCSW, PHD
Location Address2215 PORTLAND AVELouisville, KY 40212-1033
Mailing AddressPo Box 950244Louisville, KY 40295-0244 · (812) 218-8926 · Fax (812) 218-8930
Phone(502) 774-8631
Fax(502) 996-8309
Sole ProprietorYes
Enumeration DateMay 1, 2012
Last NPPES UpdateSeptember 12, 20254 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1114285814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · 104085✔ Licensed in KY · 3534
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2215 PORTLAND AVE, Louisville, KY 40212
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1914 E BroadwayLouisville, KY 40204-1037 · Phone (502) 589-8085
Location 21550 BroadwaySan Diego, CA 92101-5713 · Phone (619) 515-2525
Location 31250 6th Ave Ste 100San Diego, CA 92101-4368 · Phone (619) 515-2430

Other Identifiers 1

Medicaid12731602KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlos Vernell Thompson Lcsw, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAIVANTI LOHANO MD
Family Medicine
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 774-8631
NANCY J MATYUNAS PHARMD
Pharmacist
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 772-0889
DR. MICHAEL T LIN PHARMD
Pharmacist
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 772-8178
STEPHANIE N LUCKETT DMD
Dentist
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 772-8160
JULIA E RICHERSON MD
Pediatrics
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 774-8631
IZEGBEA M. CANNON
Nurse Practitioner (Family)
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 774-8631
KAREN DUCKWALL MD
Obstetrics & Gynecology
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 774-8631
CARLA MARIE BRODERICK APRN
Nurse Practitioner (Adult Health)
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 774-8631

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlos Thompson's NPI number?

The NPI number for Charlos Thompson is 1114285814. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Charlos Thompson located?

Charlos Thompson practices at 2215 Portland Ave, Louisville, KY 40212. The listed phone number is (502) 774-8631.

What is Charlos Thompson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Charlos Thompson enrolled in Medicare?

Yes. Charlos Thompson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charlos Thompson was last updated on September 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.