Jacquelin Ann Tohal, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25880 Issued in MN

Practice address

3 Civic Center PLZ Ste 300
Mankato, MN 56001-7790

Phone

(507) 901-1033

Fax

(507) 901-1034

NPI assigned

Feb 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mental Health Collaborative of MankatoGroup PAC ID 4688018138, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mental Health Collaborative of Mankato

  • Clinical Social Worker
  • Mankato, MN
  • NPI 1467234377

  Mental Health

  Medicare reassignment Care Compare group NPD
• Mankato Mental Health Associates, PA

  • Community/Behavioral Health Agency
  • Mankato, MN
  • NPI 1083863245
  Medicare reassignment NPD
• Counseling Services of Southern Minnesota, Inc

  • Clinical Social Worker
  • Saint Peter, MN
  • NPI 1962557496
  NPD (past)

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1659837847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CIVIC CENTER PLZ STE 300",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017790",
            "telephone_number": "507-901-1033",
            "fax_number": "507-901-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CIVIC CENTER PLZ STE 300",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017790",
            "telephone_number": "507-901-1033",
            "fax_number": "507-901-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOHAL",
        "first_name": "JACQUELIN",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "25880",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markeita Tiegs
• Jolene M Tietz, APRN, CNS
• Adeline Tiggelaar
• Thiha Tin, MD
• Eva-Noelle Taylor Todd
• Amber Jacklyn Tokie
• Tom Allen, PHD, PLLC
• Tom L Pooley
• Kevin J Torbenson, D.D.S.
• Jennifer Torgerson

• Clinical Social Worker in Mankato, MN
• Providers in Mankato, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.

Verify at the official NPI Registry.