Jenna Asplin
Individual provider Active NPI Social Worker · Kimberly, WI
NPI 1750194866 · NPPES record last updated Jan 31, 2025
Key facts
- NPI
- 1750194866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 135167-121 (WI)
- Practice address
- 1119 W Kennedy Ave
Kimberly, WI 54136-2214 - Phone
- (920) 336-8960
- NPI assigned
- Jan 31, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135167-121 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Counseling & Guidance Clinic | Past |
Accepting new patients | |
| Northwest Counseling & Guidance Clinic | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 135167-121 | WI | Yes |
Addresses
Primary practice location
1119 W Kennedy Ave
Kimberly, WI 54136-2214
Mailing address
PO Box 309
Siren, WI 54872-0309
Phone (715) 327-7112
Other providers in Kimberly, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.