Jennifer R Pfannerstill Purnell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6895-123 Issued in WI

Practice address

1655 W Mequon Rd
Mequon, WI 53092-3254

Phone

(414) 266-3339

Fax

(262) 240-9745

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1760598221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE # MS 958",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-7615",
            "fax_number": "414-266-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 W MEQUON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923254",
            "telephone_number": "414-266-3339",
            "fax_number": "262-240-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFANNERSTILL PURNELL",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6895-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760598221",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40964300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Persten, RPH
• Amy Peterburs, MSAT, LPC-IT
• Joyce Monica Peterson, R.N.
• Karen Lorene Peterson
• Isaac Petrowitz, PT
• Asia Phommathep
• Angelina Pieters
• Lawrence Piloczewski, L.AC., M.S.O.M.
• John Pitman, LCSW
• Melanie Plante, NP

• Clinical Social Worker in Mequon, WI
• Providers in Mequon, 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 Jan 18, 2022; 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.