Judith Anne Jenkins, L.C.S.W

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6589-123 Issued in WI

Practice address

1045 W Glen Oaks LN Ste 1
Mequon, WI 53092-3477

Phone

(262) 241-7778

Fax

(262) 241-8200

NPI assigned

Mar 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Judy Anne Jenkins Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2017 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1346200052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 W GLEN OAKS LN STE 1",
            "address_2": "DBA MEQUON CLINICAL ASSOCIATES",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923477",
            "telephone_number": "262-241-7778",
            "fax_number": "262-241-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W GLEN OAKS LN STE 1",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923477",
            "telephone_number": "262-241-7778",
            "fax_number": "262-241-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JUDITH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "6589-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "JENKINS",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine Marie Payan Jasperson, M.S. CF-SLP
• Patricia Ann Jaworski, OTR
• Martha F Jay, M.D.
• Jean M. Monty PHD Psychological Services LLC
• Curtis J Jelinek, DDS
• Tyler Scott Jensen
• Michelle Jerard
• Jessica Wolfe, LCSW, LLC
• Arumabaduge Mehan Jinadasa
• JK Medical Corp

• Social Worker in Mequon, WI
• Providers in Mequon, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.