Jessica M Thompson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.011236 Issued in IL

Practice address

100 Hillcrest Dr
Suite E
Washington, IL 61571-2200

Phone

(309) 444-2800

Fax

(309) 444-2866

NPI assigned

Apr 18, 2013

Last updated

Apr 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Post Acute Physician Care PC

  • Internal Medicine Physician
  • West Bloomfield, MI
  • NPI 1841076031
  NPD (past)

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1831533009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12403 N COVE CT",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615259546",
            "telephone_number": "309-370-3657",
            "fax_number": "309-444-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HILLCREST DR",
            "address_2": "SUITE E",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615712200",
            "telephone_number": "309-444-2800",
            "fax_number": "309-444-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole J Sweazy, P. T.
• Chelsea Patricia Tapp, MSW, LCSW
• Jill Lee Teubel, MSN, RN
• The Vine & the Branches LLC
• Lisa A Thoennes, M.S.CCC-SLP
• Kara M Thompson, PT
• Jillyn Thornton
• Tina R Thomas OD LTD (Thomas Eye Care)
• Emily Tira
• Tri-County Eye Center

• Clinical Social Worker in Washington, IL
• Providers in Washington, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.