Individual provider Active NPI

Jessica Danielle Thomas, MSW LISW-S

  • Social Worker
  • Cleveland, OH
National Provider Identifier
1639644669
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.2002205-SUPV Issued in OH
Practice address
14100 Cedar Rd
Cleveland, OH 44121-3212
Phone
(216) 400-7665
NPI assigned
Oct 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1440131 OH
Social Worker 104100000X I.2002205-SUPV OH Primary

Addresses

Primary practice location

14100 Cedar Rd
Cleveland, OH 44121-3212

Mailing address

14100 Cedar Rd Ste 200
Cleveland, OH 44121-3222
Phone (216) 400-7665

Other practice location 1

3100 E 45th St Ste 212
Cleveland, OH 44127-1093
Phone (216) 341-5510

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I.2002205-SUPVOHMDSocial Worker
S.1440131OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Heights Counseling Center Current Accepting new patients
Family Solutions of Ohio Inc PastSince Apr 1, 2017 Accepting new patients

Locations

14100 Cedar Rd
Ste 200
Cleveland, OH 44121
Phone (216) 213-0711

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": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1639644669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 CEDAR RD STE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441213222",
            "telephone_number": "216-400-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 CEDAR RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441213212",
            "telephone_number": "216-400-7665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 E 45th St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441271093",
            "country_code": "US",
            "telephone_number": "216-341-5510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JESSICA",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "MSW LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1440131",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2002205-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.