Individual provider Active NPI

Jessica Hoisington, LCSW

  • Clinical Social Worker
  • Waukesha, WI
National Provider Identifier
1104532175
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11207 Issued in WI
Practice address
223 Wisconsin Ave
Waukesha, WI 53186-4968
Phone
(262) 701-7257
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 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 11207 WI Primary

Addresses

Primary practice location

223 Wisconsin Ave
Waukesha, WI 53186-4968

Mailing address

255 W Broadway
Waukesha, WI 53186-4832
Phone (262) 420-9088

Other practice location 1

255 W Broadway
Waukesha, WI 53186-4832
Phone (262) 420-9088

Other names 1

  • Jessica Degner Former 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
I20230510001061 WI Order and Referring Only - Clinical Social Worker 5395101745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11207WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sals Recovery Center LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

223 Wisconsin Ave
Waukesha, WI 53186
Phone (262) 542-0580

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1104532175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W BROADWAY",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864832",
            "telephone_number": "262-420-9088",
            "fax_number": "262-458-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WISCONSIN AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864968",
            "telephone_number": "262-701-7257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531864832",
            "country_code": "US",
            "telephone_number": "262-420-9088",
            "fax_number": "262-458-4102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOISINGTON",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DEGNER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.