Tiffani Rae Lajeunesse, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

684434 Issued in WI

Practice address

409 Leonard St N
West Salem, WI 54669-1235

Phone

(608) 780-7420

NPI assigned

May 15, 2024

Last updated

May 15, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Authentic Mental Health, LLC

  • Social Worker
  • Eau Claire, WI
  • NPI 1962128322

  Clinical

  NPD (past)

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1760231419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 LEONARD ST N",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546691235",
            "telephone_number": "608-780-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 LEONARD ST N",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546691235",
            "telephone_number": "608-780-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAJEUNESSE",
        "first_name": "TIFFANI",
        "middle_name": "RAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "684434",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "WI",
            "license": "7172-123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kolander, MT-BC, WMTR, NMT-F
• Haley Rose Kroener, PHARMD, RPH
• Michele Kucharczyk, OTR
• La Crosse County (Ravenwood Behavioral Health)
• Kevin T Ladesic, DDS
• Lakeview Health Center
• Lakeview Health Center
• Jennifer Marie Lamps, M.D.
• David Scott Lattos, R.PH.
• Marcy Beth Lattos, RPH

• Clinical Social Worker in West Salem, WI
• Providers in West Salem, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.