Active NPI
Brandy N Jastrow, LCSW
- Clinical Social Worker
- Crandon, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9535-123
- Practice address
- PO Box 396
Crandon, WI 54520-0396 - Phone
- (715) 478-4339
- Fax
- (715) 478-4494
- NPI assigned
- Mar 13, 2018
- Last updated
- Oct 9, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801108974 | MI | |
| Clinical Social Worker | 1041C0700X | 9535-123 | WI | Primary |
Addresses
Primary practice location
PO Box 396
Crandon, WI 54520-0396
Mailing address
1635 Maple LN
Ashland, WI 54806-3610
Phone (715) 685-5400
Other practice location 1
2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130878-121 | Other | WI | STATE LICENSE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Indiana Medical College, School of Medicine of Purdue University, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1693 Huron St
Three Lakes, WI 54562-9763
Phone (920) 445-7210
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.84 of 100
- Quality
- 86.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801108974 | MI | MD | Clinical Social Worker |
| 9535-123 | WI | MD | Clinical Social Worker |
| 9535 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Forest County Potawatomi Community | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Memorial Medical Center Inc | Past | Accepting new patients |
Locations
8201 Mish Ko Swen Dr
Crandon, WI 54520
Phone (715) 478-4300
301 Saint Joseph St
Green Bay, WI 54301
Phone (920) 430-3630
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Organizations & group practices 8
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.
-
dba Bellin Health Algoma
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
dba Potawatomi Health & Wellness Center
- Federally Qualified Health Center (FQHC)
- Crandon, WI
- NPI 1285741306
-
dba Emplify Health Oconto Hospital
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
dba Bellin Health
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
dba Bellin Health Heart and Vascular Oconto
- Cardiovascular Disease Physician
- Oconto, WI
- NPI 1699926964
-
dba Bellin Health Suring
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
dba Bellin Health
- Family Medicine Physician
- Oconto, WI
- NPI 1114579836
-
dba Tamarack Health Ashland Clinic
- Rural Health Clinic/Center
- Ashland, WI
- NPI 1770255937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1124521414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 MAPLE LN",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548063610",
"telephone_number": "715-685-5400",
"fax_number": "715-685-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 396",
"city": "CRANDON",
"state": "WI",
"postal_code": "545200396",
"telephone_number": "715-478-4339",
"fax_number": "715-478-4494"
}
],
"practiceLocations": [
{
"address_1": "2820 Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Marinette",
"state": "WI",
"postal_code": "541433834",
"country_code": "US",
"telephone_number": "715-735-5225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JASTROW",
"first_name": "BRANDY",
"middle_name": "N",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-13",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801108974",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "9535-123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "130878-121",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crandon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.