Active NPI
Jessica Lynn Tomsen, LICSW
- Clinical Social Worker
- Somerset, WI
National Provider Identifier
1821506106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22830
- Practice address
- 712 Rivard St
Suite 7
Somerset, WI 54025 - Phone
- (651) 900-9540
- Fax
- (651) 340-2909
- NPI assigned
- Jan 20, 2018
- Last updated
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-4282 | HI | |
| Clinical Social Worker | 1041C0700X | 9425-123 | WI | |
| Clinical Social Worker | 1041C0700X | 22830 | MN | Primary |
Addresses
Primary practice location
712 Rivard St
Suite 7
Somerset, WI 54025
Mailing address
712 Rivard St
Suite 7
Somerset, WI 54025
Phone (651) 900-9540
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 |
|---|---|---|---|
| LCSW-4282 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1821506106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 RIVARD ST",
"address_2": "SUITE 7",
"city": "SOMERSET",
"state": "WI",
"postal_code": "54025",
"telephone_number": "651-900-9540",
"fax_number": "651-340-2909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 RIVARD ST",
"address_2": "SUITE 7",
"city": "SOMERSET",
"state": "WI",
"postal_code": "54025",
"telephone_number": "651-900-9540",
"fax_number": "651-340-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMSEN",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-20",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-4282",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "9425-123",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "22830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.