Individual provider Active NPI

Jennifer Zickuhr

  • Clinical Social Worker
  • Green Bay, WI
National Provider Identifier
1568894848
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
131037 Issued in WI
Practice address
916 Willard Dr Ste 125E
Green Bay, WI 54304-0008
Phone
(920) 680-8087
NPI assigned
Aug 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 131037 WI Primary

Addresses

Primary practice location

916 Willard Dr Ste 125E
Green Bay, WI 54304-0008

Mailing address

12605 W North Ave # 146
Brookfield, WI 53005-4629

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

State licenses

LicenseStateTypeSpecialty
131037WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Building Resilience Counseling, LLC Clinical CurrentSince Dec 7, 2025 Accepting new patients

Locations

916 Willard Dr
Ste 125E
Green Bay, WI 54304
Phone (920) 680-8087

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1568894848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12605 W NORTH AVE # 146",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 WILLARD DR STE 125E",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543040008",
            "telephone_number": "920-680-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICKUHR",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "131037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.