Jenelle Nicole Thomas, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.102988 Issued in IL

Practice address

1142 W Madison St
Chicago, IL 60607-2191

Phone

(312) 324-4502

NPI assigned

Oct 22, 2019

Last updated

Apr 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empathic Therapy Services

  • Clinical Social Worker
  • Orland Park, IL
  • NPI 1245819598
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617494400000",
    "number": "1023651114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 S 94TH AVE STE 500",
            "address_2": "SUITE 500 - #365",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60462",
            "telephone_number": "773-273-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072191",
            "telephone_number": "312-324-4502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15255 S 94th Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604623895",
            "country_code": "US",
            "telephone_number": "773-273-6365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JENELLE",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.102988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Owen Thomas, MD
• James D Thomas, MD
• James Regan Thomas, M.D.
• Jamie K. Thomas
• Jasmin Rose Thomas, DNP, FNP-BC
• Jennifer Lyn Thomas, MA, LCPC, LASOP
• Jermaine D Thomas, PSYD
• Jesyka E Thomas, CCC-SLP
• Joseph S Thomas, MD
• Jude Elizabeth Thomas, SLP

• Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.