Active NPI
Jordan Elizabeth Thomas, LICSW
- Clinical Social Worker
- St Louis Park, MN
National Provider Identifier
1538079629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28592
- Practice address
- 1650 W End Blvd Ste 100
St Louis Park, MN 55416-5369 - Phone
- (763) 331-2161
- NPI assigned
- Sep 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28592 | MN | Primary |
Addresses
Primary practice location
1650 W End Blvd Ste 100
St Louis Park, MN 55416-5369
Mailing address
2322 Silver LN Apt 309
New Brighton, MN 55112-7461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1538079629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 SILVER LN APT 309",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551127461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 W END BLVD STE 100",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554165369",
"telephone_number": "763-331-2161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JORDAN",
"middle_name": "ELIZABETH",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "28592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.