North State Social Work & Psychotherapy Services Inc a Licen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NORTH STATE SOCIAL WORK & PSYCHOTHERAPY SERVICES INC A LICEN

Practice address

1135 Pine St Ste 21
Redding, CA 96001-0750

Phone

(530) 638-2067

Fax

(949) 561-5392

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Jantina Thompson, LCSWNPI 1104242767

Title

Ceo / President

Phone

(530) 638-2067

Specialties & licenses 1

Addresses

Other names 1

• North State SWAPS Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jantina Thompson, LCSW

  • Clinical Social Worker
  • Redding, CA
  • NPI 1104242767

  CA, Clinical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1851969059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 WASHINGTON ST PMB 203",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802704",
            "telephone_number": "530-638-2067",
            "fax_number": "949-561-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 PINE ST STE 21",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010750",
            "telephone_number": "530-638-2067",
            "fax_number": "949-561-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STATE SOCIAL WORK & PSYCHOTHERAPY SERVICES INC A LICEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JANTINA",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "530-638-2067",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North State SWAPS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew S Norman, DDS
• Tracy Ann Norman, RN
• North Point Community Services
• North State Cancer Specialty Inc
• North State Family Counseling Center Inc
• North State Surgery Centers LP
• North State Surgery Centers, LP
• North Valley Breast Clinic
• North Valley Developmental Services Inc
• North Valley Developmental Services Inc.

• All providers in Redding, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.