Jantina Thompson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW72293 Issued in CA

Practice address

1135 Pine St Ste 21
Redding, CA 96001-0750

Phone

(530) 638-2067

Fax

(949) 561-5392

NPI assigned

Mar 6, 2014

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• North State Social Work & Psychotherapy Services Inc a Licen

  • Clinical Social Worker
  • Redding, CA
  • NPI 1851969059

  CA, Clinical

  Medicare reassignment NPD Authorized official
• Dunamis Center Incorporated

  • Mental Health Counselor
  • Redding, CA
  • NPI 1578052379
  NPD (past)
• Family Dynamics Resource Center

  • Community/Behavioral Health Agency
  • Redding, CA
  • NPI 1619272564
  NPD (past)

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1104242767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 WASHINGTON ST # 203",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802704",
            "telephone_number": "800-501-5085",
            "fax_number": "949-561-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 PINE ST STE 21",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010750",
            "telephone_number": "530-638-2067",
            "fax_number": "949-561-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JANTINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW72293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim L Thomas, P.T.
• Colleen Marie Thompson, LMFT 86224
• David Carl Thompson, M.D.
• Gavin Paul Thompson
• James Byron Thompson, FNP
• Kayla Ann Thompson
• Laura Christine Thompson, OTA/L
• Marcella Camille Thompson, LCSW
• Michelle Joyce Thompson, MSN, APRN, AGACNP-BC
• Rodney M Thompson, MD

• All providers in Redding, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.