Active NPI
Gabrielle Cassandra Jochman, LCSW
- Clinical Social Worker
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9881-123
- Practice address
- 2500 E Enterprise Ave Ste B
Appleton, WI 54913-8556 - Phone
- (920) 416-8577
- Fax
- (920) 416-8581
- NPI assigned
- Jan 16, 2020
- 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 | 9881-123 | WI | Primary |
Addresses
Primary practice location
2500 E Enterprise Ave Ste B
Appleton, WI 54913-8556
Mailing address
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Phone (651) 628-9566
Other names 1
- Gabrielle Cassandra Samson Jochman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 E Enterprise Ave
Suite B
Appleton, WI 54913-8556
Phone (920) 416-8577
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9881-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Psychiatric Center Inc | Current | Accepting new patients | |
| Nystrom & Associates Counseling Wi., S.C. | Current | Accepting new patients | |
| Nystrom & Associates Counseling Wi., S.C. | Current | Accepting new patients | |
| Bellin Psychiatric Center Inc. | Clinical | Current | Accepting new patients |
Locations
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
2500 E Enterprise Ave
Ste B
Appleton, WI 54913
Phone (920) 416-8577
301 Saint Joseph St
Green Bay, WI 54301
Phone (920) 430-3630
201 Main St
Ste 500
La Crosse, WI 54601
Phone (608) 668-4005
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- La Crosse, WI
- NPI 1659977866
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1952554800
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1598728776
Clinical
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fargo, ND
- NPI 1104549047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1407486541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 SILVER LAKE RD NW STE 110",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551121789",
"telephone_number": "651-628-9566",
"fax_number": "651-628-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E ENTERPRISE AVE STE B",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138556",
"telephone_number": "920-416-8577",
"fax_number": "920-416-8581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOCHMAN",
"first_name": "GABRIELLE",
"middle_name": "CASSANDRA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-16",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "9881-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GABRIELLE",
"last_name": "JOCHMAN",
"middle_name": "CASSANDRA SAMSON",
"credential": "SW",
"code": "5",
"type": "Other 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 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.