Active NPI
Judy Christine Thomas, LCSW
- Clinical Social Worker
- Wales, WI
National Provider Identifier
1578879730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7933123
- Practice address
- 104 E Summit Ave
Wales, WI 53183-9551 - Phone
- (773) 673-8745
- NPI assigned
- Aug 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7933123 | WI | Primary |
| Clinical Social Worker | 1041C0700X | 149.012127 | IL | |
| Clinical Social Worker | 1041C0700X | 36692 | MN | |
| Clinical Social Worker | 1041C0700X | 140137 | IA |
Addresses
Primary practice location
104 E Summit Ave
Wales, WI 53183-9551
Mailing address
W315S1105 Glacier Pass
Delafield, WI 53018-3424
Phone (773) 673-8745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110210000488 | IL | Practitioner - Clinical Social Worker | 4587844311 |
Reassigns benefits to 1 organization Practice locations: Saint Charles, IL |
| I20150615000712 | WI | Practitioner - Clinical Social Worker | 4587844311 |
Reassigns benefits to 1 organization Practice locations: Wales, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
104 E Summit Ave
Wales, WI 53183-9551
Phone (773) 673-8745
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.012127 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novo: Renewing Joy in Life, PC | Clinical | Current | Accepting new patients |
Locations
104 S 2nd Ave
St Charles, IL 60174
Phone (630) 297-3617
Organizations & group practices 2
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": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1578879730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W315S1105 GLACIER PASS",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "530183424",
"telephone_number": "773-673-8745",
"fax_number": "773-854-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 E SUMMIT AVE",
"city": "WALES",
"state": "WI",
"postal_code": "531839551",
"telephone_number": "773-673-8745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JUDY",
"middle_name": "CHRISTINE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7933123",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.012127",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "36692",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "140137",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wales, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.