Individual provider Active NPI

Judy Christine Thomas, LCSW

  • Clinical Social Worker
  • Wales, WI
National Provider Identifier
1578879730
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7933123 Issued in WI
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

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
149.012127ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Novo: Renewing Joy in Life, PC Clinical CurrentSince Mar 1, 2012 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

Verify at the official NPI Registry.