Individual provider Active NPI

Jennifer L Thomason, MSW, LICSW

  • Clinical Social Worker
  • Wenatchee, WA
National Provider Identifier
1942777198
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61238248 Issued in WA
Practice address
1230 Monitor St
Wenatchee, WA 98801-3534
Phone
(509) 300-1221
Fax
(509) 663-4640
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 61238248 WA Primary

Addresses

Primary practice location

1230 Monitor St
Wenatchee, WA 98801-3534

Mailing address

100 Birch St
Cashmere, WA 98815-1103
Phone (509) 670-0196

Other practice location 1

100 Birch St
Cashmere, WA 98815-1103
Phone (506) 670-0196

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
61238248WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1942777198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BIRCH ST",
            "city": "CASHMERE",
            "state": "WA",
            "postal_code": "988151103",
            "telephone_number": "509-670-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MONITOR ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013534",
            "telephone_number": "509-300-1221",
            "fax_number": "509-663-4640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Birch St",
            "address_purpose": "LOCATION",
            "city": "Cashmere",
            "state": "WA",
            "postal_code": "988151103",
            "country_code": "US",
            "telephone_number": "506-670-0196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMASON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61238248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.