Individual provider Active NPI

Karen Ann Jick, LCSW

  • Social Worker
  • Milwaukee, WI
National Provider Identifier
1336462241
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
562-123 Issued in WI
Practice address
1524 N Farwell Ave
Milwaukee, WI 53202-2329
Phone
(414) 273-2220
NPI assigned
Mar 5, 2010
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 562-123 WI Primary
Clinical Social Worker 1041C0700X 562-123 WI

Addresses

Primary practice location

1524 N Farwell Ave
Milwaukee, WI 53202-2329

Mailing address

N80W13385 River Park Dr
Menomonee Falls, WI 53051-3990
Phone (414) 217-4941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
562-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Icf Consultants, Inc. CurrentSince Sep 10, 2015 Accepting new patients
Icf Consultants, Inc. PastSince Sep 10, 2015 Accepting new patients

Locations

1524 N Farwell Ave
Milwaukee, WI 53202
Phone (414) 272-2220

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1336462241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N80W13385 RIVER PARK DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513990",
            "telephone_number": "414-217-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 N FARWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022329",
            "telephone_number": "414-273-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JICK",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "562-123",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "562-123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.