Individual provider Active NPI

Jessica Salinis Thomas, LCSW

  • Clinical Social Worker
  • High Point, NC
National Provider Identifier
1275889990
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007982 Issued in NC
Practice address
1208 Eastchester Dr Ste 107
High Point, NC 27265-3066
Phone
(336) 802-2900
Fax
(336) 802-2901
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C007982 NC Primary

Addresses

Primary practice location

1208 Eastchester Dr Ste 107
High Point, NC 27265-3066

Mailing address

308 Pomona Dr Ste a
Greensboro, NC 27407-1644
Phone (336) 542-3190

Other practice location 1

308 Pomona Dr Ste A
Greensboro, NC 27407-1644
Phone (336) 542-3190 ext. 3

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C007982NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1275889990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 POMONA DR STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071644",
            "telephone_number": "336-542-3190",
            "fax_number": "336-855-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 EASTCHESTER DR STE 107",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653066",
            "telephone_number": "336-802-2900",
            "fax_number": "336-802-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Pomona Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274071644",
            "country_code": "US",
            "telephone_number": "336-542-3190 x3",
            "fax_number": "336-855-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JESSICA",
        "middle_name": "SALINIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.