Jenell Thompson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29265 Issued in CA

Practice address

249 W Jackson St # 113
Hayward, CA 94544-1811

Phone

(510) 593-3912

NPI assigned

Aug 19, 2019

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1487201182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 W JACKSON ST # 113",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945441811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 W JACKSON ST # 113",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945441811",
            "telephone_number": "510-593-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JENELL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La'Keshia Thomas
• Shiela Roshan Thomas
• Carmen Thompson, RDHAP
• Devin L Thompson
• Jason Thompson, SUD COUNSELOR
• Kristy Thompson, MASSAGE THERAPIST
• Laneshia Thompson
• Maria Giovanna Thompson I, LNHA, CTRS, AMFT
• Philip Thompson
• Dayan Thorne

• Clinical Social Worker in Hayward, CA
• Providers in Hayward, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.