Individual provider Active NPI

Jennifer Michelle Deringer, MSSW, LCSW

  • Clinical Social Worker
  • Fond Du Lac, WI
National Provider Identifier
1023640083
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9537-123 Issued in WI
Practice address
74 S Main St Ste 103
Fond Du Lac, WI 54935-4274
Phone
(920) 573-7378
NPI assigned
Feb 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X WI
Clinical Social Worker 1041C0700X 9537-123 WI Primary

Addresses

Primary practice location

74 S Main St Ste 103
Fond Du Lac, WI 54935-4274

Mailing address

2965 Hoepker Rd Apt 246
Sun Prairie, WI 53590-8880
Phone (480) 580-1901

Other names 1

  • Ms. Jennifer Michelle Krakoff Former name

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
9537-123WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1023640083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 HOEPKER RD APT 246",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535908880",
            "telephone_number": "480-580-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 S MAIN ST STE 103",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354274",
            "telephone_number": "920-573-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERINGER",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9537-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KRAKOFF",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "MSSW, CAPSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.