DR. THEODORE THOMPSON JR. LCSW, PHD
NPI 1215440532
Social Worker - Clinical in Bolingbrook, IL

Active since November 08, 2017
404 W BOUGHTON RD STE B, BOLINGBROOK, IL 60440(630) 685-4053(630) 596-1478 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 15, 2022, Nov 8, 2017 (2 updates tracked since 2017).

About Dr. Theodore Thompson Jr. Lcsw, Phd NPPES

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

DR. THEODORE THOMPSON JR. LCSW, PHD (NPI 1215440532) is an individual clinical provider in Bolingbrook, Illinois, licensed in Illinois (149005238) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1215440532
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. THEODORE THOMPSON JR.Credential: LCSW, PHD
Location Address404 W BOUGHTON RD STE BBolingbrook, IL 60440-1898
Mailing Address404 W Boughton Rd Ste BBolingbrook, IL 60440-1898 · (630) 685-4053
Fax(630) 596-1478
Sole ProprietorNo
Enumeration DateNovember 8, 2017
Last NPPES UpdateFebruary 15, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
NPI 1215440532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149005238
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 149005238 (IL)
404 W BOUGHTON RD STE B, Bolingbrook, IL 60440

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
404 W BOUGHTON RD STE B
BOLINGBROOK, IL 60440
Psychologist (Clinical)
404 W BOUGHTON RD STE B
BOLINGBROOK, IL 60440
Counselor (Mental Health)
404 W BOUGHTON RD STE B
BOLINGBROOK, IL 60440
Counselor (Professional)
404 W BOUGHTON RD STE B
BOLINGBROOK, IL 60440
Clinic/Center (Adolescent and Children Mental Health)
404 W BOUGHTON RD STE B
BOLINGBROOK, IL 60440

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 Theodore Thompson's NPI number?

The NPI number for Theodore Thompson is 1215440532. It was assigned to this individual provider in the NPPES registry on November 8, 2017.

Where is Theodore Thompson located?

Theodore Thompson practices at 404 W Boughton Rd Ste B, Bolingbrook, IL 60440. The listed phone number is (630) 685-4053.

What is Theodore Thompson's specialty?

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

When was this NPI record last updated?

The NPPES record for Theodore Thompson was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.