Active NPI
Karen A Jenk
- Clinical Social Worker
- Waukesha, WI
National Provider Identifier
1497800528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 872-123
- Practice address
- 2314 N Grandview Blvd
Suite #309
Waukesha, WI 53188-1675 - Phone
- (262) 544-4540
- NPI assigned
- Jan 25, 2007
- 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 | 872-123 | WI | Primary |
Addresses
Primary practice location
2314 N Grandview Blvd
Suite #309
Waukesha, WI 53188-1675
Mailing address
2314 N Grandview Blvd
Suite #309
Waukesha, WI 53188-1675
Phone (262) 544-4540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 872-123 | Other | WI | STATE OF WISCONSIN LICENS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 872-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497800528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 N GRANDVIEW BLVD",
"address_2": "SUITE #309",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881675",
"telephone_number": "262-544-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2314 N GRANDVIEW BLVD",
"address_2": "SUITE #309",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881675",
"telephone_number": "262-544-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENK",
"first_name": "KAREN",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "872-123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WISCONSIN LICENS",
"identifier": "872-123",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.