Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Nicole Jane Thompson, PMHNP-BC, LCSW, LICSW

Individual provider Social Worker · NPI 1588824478

Nicole Jane Thompson, PMHNP-BC, LCSW, LICSW is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2022, 4 years ago. Practices with Southern Mentality PLLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida, Massachusetts, North Carolina and New York and 1 more.

Years since qualifying
4
Licensed in
FL, MA, NC, NY, TX
In the registry since
2008
Specialties on file
6
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

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Practice location Address checks out

8430 Medical Plaza Dr Ste 300
Charlotte, NC 28262-9758
Phone: (704) 910-6142
Fax: (980) 422-0106
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5018004 (NC)
Social Worker Taxonomy 104100000X · Licence 076873 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW11908 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 114912 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 53948 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence C013102 (NC)

Record details

NPI number1588824478
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC , LCSW , LICSW
Sole proprietorNo
NPI enumeratedJune 13, 2008
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southern Mentality Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $214 4 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Southern Mentality PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

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