Jackie Wollschlager

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13159 Issued in MN

Practice address

507 N Nokomis St
Alexandria, MN 56308-2352

Phone

(320) 335-5100

NPI assigned

Sep 4, 2014

Last updated

Sep 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stevens Community Medical Center Inc.

  dba Starbuck Clinic

  • Clinic/Center
  • Starbuck, MN
  • NPI 1417105552
  Medicare reassignment NPD
• Swift County-Benson Hospital

  • Critical Access Hospital
  • Benson, MN
  • NPI 1174529002
  Medicare reassignment NPD
• Crown Counseling PLLC

  • Clinical Social Worker
  • Ortonville, MN
  • NPI 1902770589
  NPD Authorized official
• Stevens Community Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Morris, MN
  • NPI 1366543662
  NPD
• Stevens Community Medical Center Inc

  dba Stevens Community Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Morris, MN
  • NPI 1649705690
  NPD
• Swift County Benson Hospital

  dba Swift County Benson Health Services

  • Family Medicine Physician
  • Benson, MN
  • NPI 1174077739
  NPD
• Swift County Benson Hospital

  • Critical Access Hospital
  • Benson, MN
  • NPI 1538375522
  NPD

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1619378015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N NOKOMIS ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082352",
            "telephone_number": "320-335-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N NOKOMIS ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082352",
            "telephone_number": "320-335-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLSCHLAGER",
        "first_name": "JACKIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane F Wilka-Pauly, LADC, LPCC
• Kimberly Wilkins, LADC
• Kimberly Kay Wilmesmeier
• Emma Wilson
• Melissa Marie Winter, PSY.D.
• Woodland Dentistry
• McKayla Woods, APRN
• Kristin Wright
• Jared Wunderlich
• Katherine Wussow

• Clinical Social Worker in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.