Daysi Jimenez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11687-123 Issued in WI

Practice address

1432 W Forest Home Ave Ste 400
Milwaukee, WI 53204-3228

Phone

(414) 292-4242

NPI assigned

Oct 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Daysi Mendoza Former name

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Professional Services Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kenosha, WI
  • NPI 1619024262
  Medicare reassignment NPD

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1427773266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 W FOREST HOME AVE STE 400",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043228",
            "telephone_number": "414-292-4242",
            "fax_number": "414-567-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 W FOREST HOME AVE STE 400",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043228",
            "telephone_number": "414-292-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "DAYSI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11687123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11687-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djimenez@psgcip.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Professional Services Group, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1205 S 70th St Ste 301",
            "city": "West Allis",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532143171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAYSI",
            "last_name": "MENDOZA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• JHM Chiropractic, LLC
• Karen Ann Jick, LCSW
• Edward T Jiles
• Heidi A Jiles
• Colleen Jimenez
• Eduardo Andres Jimenez, SLP
• Karla Alejandra Jimenez, RN
• Guan-Yuan Jin, LAC
• James Jin
• Takia K Jines, RN

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.