Jena M Bladl, APSW
Individual provider Active NPI Social Worker · Portage, WI
NPI 1760134084 · NPPES record last updated May 30, 2025
Key facts
- NPI
- 1760134084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 134203121 (WI)
- Practice address
- 1440 E Wisconsin St
Portage, WI 53901-2552 - Phone
- (608) 745-9720
- NPI assigned
- Jan 19, 2022
- 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 |
|---|---|---|---|
| 134203121 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Mental Health Center, Inc. | Current |
Accepting new patients | |
| TMS Clinical Services of Wisconsin SC | Past |
Accepting new patients |
Locations
1440 E Wisconsin St
Portage, WI 53901
Phone (608) 745-9720
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | 134203121 | WI | Yes |
Addresses
Primary practice location
1440 E Wisconsin St
Portage, WI 53901-2552
Mailing address
303 Reagles St
Arlington, WI 53911-8518
Other providers in Portage, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 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.