Individual provider Active NPI

Linda Kay Thompson, CSW PIP

  • Social Worker
  • Rapid City, SD
National Provider Identifier
1417030933
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CSW PIP 1093 Issued in SD
Practice address
2920 Sheridan Lake Road
Rapid City, SD 57702-5350
Phone
(605) 348-0477
Fax
(605) 348-0479
NPI assigned
Oct 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CSW PIP 1093 SD Primary

Addresses

Primary practice location

2920 Sheridan Lake Road
Rapid City, SD 57702-5350

Mailing address

2920 Sheridan Lake Road
Rapid City, SD 57702-5350
Phone (605) 348-0477

Other identifiers 1

IdentifierTypeStateIssuer
6571000MedicaidSD

Other names 1

  • Linda Kay Jacobson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW PIP 1093SDMDSocial Worker
1093SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Child Psychiatric Services Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417030933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 SHERIDAN LAKE ROAD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577025350",
            "telephone_number": "605-348-0477",
            "fax_number": "605-348-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 SHERIDAN LAKE ROAD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577025350",
            "telephone_number": "605-348-0477",
            "fax_number": "605-348-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LINDA",
        "middle_name": "KAY",
        "credential": "CSW PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "CSW PIP 1093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6571000",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "JACOBSON",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.