Individual provider Active NPI

Jade Elizabeth Van Buren, MSW, LCSW

  • Clinical Social Worker
  • Juneau, WI
National Provider Identifier
1073283719
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11557 Issued in WI
Practice address
199 County Road DF
Juneau, WI 53039-9512
Phone
(920) 386-3500
Fax
(920) 386-3812
NPI assigned
Sep 15, 2021
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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 131578-121 WI
Clinical Social Worker 1041C0700X 11557 WI Primary

Addresses

Primary practice location

199 County Road DF
Juneau, WI 53039-9512

Mailing address

199 County Road DF
Juneau, WI 53039-9512
Phone (920) 386-3500

Other names 1

  • Jade Bukowiec Other name

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
I20240222003086 WI Practitioner - Clinical Social Worker 1658715164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
131578-121WIMDSocial Worker
11557WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Dodge CurrentSince Feb 8, 2024 Accepting new patients
County of Dodge CurrentSince Feb 8, 2024 Accepting new patients

Locations

199 County Road DF
#3
Juneau, WI 53039
Phone (920) 386-4094

199 County Road DF
Fl 3
Juneau, WI 53039
Phone (920) 386-4094

199 Cty Df
Juneau, WI 53039
Phone (262) 735-8005

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1073283719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 COUNTY ROAD DF",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "530399512",
            "telephone_number": "920-386-3500",
            "fax_number": "920-386-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 COUNTY ROAD DF",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "530399512",
            "telephone_number": "920-386-3500",
            "fax_number": "920-386-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BUREN",
        "first_name": "JADE",
        "middle_name": "ELIZABETH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "131578-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JADE",
            "last_name": "BUKOWIEC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Juneau, WI

Sources for this page

Verify at the official NPI Registry.