Active NPI
Jennifer Ann Haase, B.A.
- Social Worker
- Manitowoc, WI
National Provider Identifier
1376780114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8912-120
- Practice address
- 926 S. 8TH Street
Manitowoc, WI 54221-1177 - Phone
- (920) 683-4230
- Fax
- (920) 683-4908
- NPI assigned
- Jan 15, 2009
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 8912-120 | WI | Primary |
Addresses
Primary practice location
926 S. 8TH Street
Manitowoc, WI 54221-1177
Mailing address
PO Box 1177
926 S. 8TH Street
Manitowoc, WI 54221-1177
Phone (920) 683-4230
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8912-120 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1376780114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1177",
"address_2": "926 S. 8TH STREET",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542211177",
"telephone_number": "920-683-4230",
"fax_number": "920-683-4908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 S. 8TH STREET",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542211177",
"telephone_number": "920-683-4230",
"fax_number": "920-683-4908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAASE",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-15",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "8912-120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.