Thomasina Marie Jenkins, LCSW,CSAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7605-123 Issued in WI

Practice address

5650 N Green Bay Ave Ste 205
Glendale, WI 53209-4446

Phone

(262) 999-3495

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

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.

• Cornerstone Counseling Services, Inc

  • Mental Health Counselor
  • Brookfield, WI
  • NPI 1033127246

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Knueppel Healthcare Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Racine, WI
  • NPI 1699740134
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1184748618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "262-999-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 N GREEN BAY AVE STE 205",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094446",
            "telephone_number": "262-999-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3522 W Lisbon Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532081953",
            "country_code": "US",
            "telephone_number": "414-935-8000",
            "fax_number": "414-344-3396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10721 W Capitol Dr",
            "address_2": "Suite 126",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532221210",
            "country_code": "US",
            "telephone_number": "414-739-4526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8018 W Capitol Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532221906",
            "country_code": "US",
            "telephone_number": "414-369-2856",
            "fax_number": "414-369-3944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "THOMASINA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LCSW,CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7605-123",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15353-132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43715900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Jarvis, LCSW
• Hannah Jeanson
• Jeffrey L Polczinski PSYD LLC
• John Peter Jendusa, LCSW
• Cassandra Lee Jenkins, RN
• JM Janssen Dba Paramount Optical Lab
• John E. Darling, D.D.S., LLC
• Aretha Michelle Johnson, L.P.N
• Jeremiah Johnson
• Joints in Motion Medical, LLC

• Clinical Social Worker in Glendale, WI
• Providers in Glendale, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.