Active NPI
Jessica Hoisington, LCSW
- Clinical Social Worker
- Waukesha, WI
National Provider Identifier
1104532175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11207
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230510001061 | WI | Order and Referring Only - Clinical Social Worker | 5395101745 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11207 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sals Recovery Center LLC | Current | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Waukesha, WI
- NPI 1336508613
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.