Individual provider Active NPI

Jennifer Anne Hayes, LCSW

  • Clinical Social Worker
  • Middleton, WI
National Provider Identifier
1033304852
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7615-123 Issued in WI
Practice address
2711 Allen Blvd Ste 304
Middleton, WI 53562-2287
Phone
(608) 556-4808
NPI assigned
Sep 14, 2007
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 7615-123 WI Primary

Addresses

Primary practice location

2711 Allen Blvd Ste 304
Middleton, WI 53562-2287

Mailing address

2711 Allen Blvd Ste 304
Middleton, WI 53562-2287
Phone (608) 556-4808

Other identifiers 1

IdentifierTypeStateIssuer
1033304852MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110405000037 WI Practitioner - Clinical Social Worker 8628252335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2711 Allen Blvd
Suite 304
Middleton, WI 53562-2287
Phone (608) 556-4808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7615-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wander Within Wellness, LLC Clinical CurrentSince Aug 22, 2023 Accepting new patients

Locations

715 Hill St
Ste 130
Madison, WI 53705
Phone (608) 236-9138

2711 Allen Blvd
Ste 304
Middleton, WI 53562
Phone (608) 556-4808

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1033304852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 ALLEN BLVD STE 304",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622287",
            "telephone_number": "608-556-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 ALLEN BLVD STE 304",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622287",
            "telephone_number": "608-556-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7615-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033304852",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.