Jennie Marie Lepien, LCSW,SAC-IT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9250-123 Issued in WI

Practice address

175 E Wisconsin Ave Ste H
Oconomowoc, WI 53066-3057

Phone

(262) 567-4455

NPI assigned

Mar 2, 2020

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

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.

• Prohealth Medical Group Inc

  • Family Medicine Physician
  • Pewaukee, WI
  • NPI 1396887709
  NPD
• Prohealth Medical Group Inc.

  • Pediatrics Physician
  • Waukesha, WI
  • NPI 1356322440
  NPD

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1477187136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 FIRST ST",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530271204",
            "telephone_number": "262-623-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E WISCONSIN AVE STE H",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663057",
            "telephone_number": "262-567-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPIEN",
        "first_name": "JENNIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW,SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "18362-130",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9250-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul J. Lemarbre, M.D.
• Alica Lenoach
• Joy Lenz, RD, CD
• Danielle Leonard, A.P.N.P.
• Claire Lepien
• Tim Christopher Levenhagen, MD
• Ashley Leverence, RN
• Michelle Louise Leverence, LPC
• Tamara Ann Ligman, RN, BSN, MSN
• Grace Lindemann

• Clinical Social Worker in Oconomowoc, WI
• Providers in Oconomowoc, 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 Mar 2, 2020; 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.