Individual provider Active NPI

Jane Lynn Thompson, MSW LICSW

  • Social Worker
  • Eden Prairie, MN
National Provider Identifier
1619050606
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LICSW00630 Issued in MN
Practice address
11000 Prairie Lakes Dr
Suite 610
Eden Prairie, MN 55344-3887
Phone
(612) 991-4019
NPI assigned
Oct 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 LICSW00630 MN Primary

Addresses

Primary practice location

11000 Prairie Lakes Dr
Suite 610
Eden Prairie, MN 55344-3887

Mailing address

11000 Prairie Lakes Dr
Suite 610
Eden Prairie, MN 55344-3887
Phone (612) 991-4019

Other identifiers 2

IdentifierTypeStateIssuer
6269233OtherMEDICA
209MIEDOtherMNBLUE CROSS BLUE SHIELD

Other names 1

  • Ms. Jane Lynn Schlueter 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
LICSW00630MNMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619050606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 PRAIRIE LAKES DR",
            "address_2": "SUITE 610",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443887",
            "telephone_number": "612-991-4019",
            "fax_number": "952-942-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 PRAIRIE LAKES DR",
            "address_2": "SUITE 610",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443887",
            "telephone_number": "612-991-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JANE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "LICSW00630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6269233",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "209MIED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "SCHLUETER",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eden Prairie, MN

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.