Active NPI
Jane Lynn Thompson, MSW LICSW
- Social Worker
- Eden Prairie, MN
National Provider Identifier
1619050606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LICSW00630
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6269233 | Other | MEDICA | |
| 209MIED | Other | MN | BLUE CROSS BLUE SHIELD |
Other names 1
- Ms. Jane Lynn Schlueter
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
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW00630 | MN | MD | Social 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.