NPI Registry.org

Jenelle Nicole Thomas

NPI Registration Record

Provider / OrganizationNPIDate Certified
JENELLE NICOLE THOMAS10236511142021-04-04

Jenelle Nicole Thomas is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1023651114. Registration indicates Jenelle Nicole Thomas is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers)

Entity TypeIndividual
Provider Name Jenelle Nicole Thomas LCSW
Practice Office Address1142 W MADISON ST
CHICAGO, IL US
Practice Office Telephone3123244502
Mailing Address15255 S 94TH AVE STE 500
SUITE 500 - #365
ORLAND PARK, IL 60462 US
Business Telephone7732736365
Offices / Locations
AddressCity / StatePhone / Fax
15255 S 94th Ave Ste 500 Orland Park, IL 604623895 7732736365
HPT Codes
CodePractice
License No
State
104100000X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Social Worker
Behavioral Health & Social Service Providers
Social Worker
Social Worker

Behavioral Health/Substance Abuse/Psychiatry

Social Worker
Behavioral Health & Social Service Providers
150.102988
IL
OPI Codes

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