Active NPI
Jaclyn Weir, MSW, APSW
- Clinical Social Worker
- Mt Pleasant, WI
National Provider Identifier
1194635730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 136403-121
- Practice address
- 5801 Washington Ave Ste 200
Mt Pleasant, WI 53406-4057 - Phone
- (262) 864-1141
- NPI assigned
- Sep 8, 2026
- 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 | 136403-121 | WI | Primary |
Addresses
Primary practice location
5801 Washington Ave Ste 200
Mt Pleasant, WI 53406-4057
Mailing address
7126 92ND Ave
Kenosha, WI 53142-7661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1194635730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7126 92ND AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 WASHINGTON AVE STE 200",
"city": "MT PLEASANT",
"state": "WI",
"postal_code": "534064057",
"telephone_number": "262-864-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIR",
"first_name": "JACLYN",
"credential": "MSW, APSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "136403-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.