Active NPI
Jennie Lee Woreck, LCSW
- Clinical Social Worker
- Appleton, WI
National Provider Identifier
1235448093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10091-123
- Practice address
- 14 Tri Park Way
Appleton, WI 54914-6430 - Phone
- (920) 831-0070
- NPI assigned
- Sep 28, 2010
- 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 | 10091-123 | WI | Primary |
Addresses
Primary practice location
14 Tri Park Way
Appleton, WI 54914-6430
Mailing address
14 Tri Park Way
Appleton, WI 54914-6430
Phone (920) 831-0070
Other names 1
- Ms. Jennie Lee Kirsling
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennie.woreck@va.gov | Direct | Department of Veterans Affairs Clement J. Zablocki Medical Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10091-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1235448093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 TRI PARK WAY",
"city": "APPLETON",
"state": "WI",
"postal_code": "549146430",
"telephone_number": "920-831-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 TRI PARK WAY",
"city": "APPLETON",
"state": "WI",
"postal_code": "549146430",
"telephone_number": "920-831-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORECK",
"first_name": "JENNIE",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "10091-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennie.woreck@va.gov",
"affiliation": "Y",
"endpointDescription": "Work email",
"affiliationName": "Department of Veterans Affairs Clement J. Zablocki Medical Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Work email",
"address_1": "5000 W National Ave",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532951000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENNIE",
"last_name": "KIRSLING",
"middle_name": "LEE",
"prefix": "MS.",
"credential": "CAPSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.