Individual provider Active NPI

Jenna E Thomas, LMSW

  • Social Worker
  • Valdosta, GA
National Provider Identifier
1780301093
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW010958 Issued in GA
Practice address
2409 Bemiss Rd Ste B4
Valdosta, GA 31602-1936
Phone
(229) 251-5151
NPI assigned
Oct 26, 2022
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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 MSW010958 GA Primary

Addresses

Primary practice location

2409 Bemiss Rd Ste B4
Valdosta, GA 31602-1936

Mailing address

2409 Bemiss Rd Ste B4
Valdosta, GA 31602-1936
Phone (229) 251-5151

Other practice location 1

911 College St Ste 203
Bowling Green, KY 42101-2183
Phone (270) 319-4205

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
MSW010958GAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1780301093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 BEMISS RD STE B4",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021936",
            "telephone_number": "229-251-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 BEMISS RD STE B4",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021936",
            "telephone_number": "229-251-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 College St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421012183",
            "country_code": "US",
            "telephone_number": "270-319-4205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JENNA",
        "middle_name": "E",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW010958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.