Individual provider Active NPI

Jacinda J Hecker, APSW

  • Clinical Social Worker
  • Green Bay, WI
National Provider Identifier
1770320681
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12742 Issued in WI
Practice address
3150 Gershwin Dr
Green Bay, WI 54311-4328
Phone
(920) 391-4700
NPI assigned
Jul 9, 2024
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 134857 WI
Clinical Social Worker 1041C0700X 12742 WI Primary

Addresses

Primary practice location

3150 Gershwin Dr
Green Bay, WI 54311-4328

Mailing address

3150 Gershwin Dr
Green Bay, WI 54311-4328
Phone (920) 391-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20260225001095 WI Practitioner - Clinical Social Worker 1557842846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3150 Gershwin Dr
Green Bay, WI 54311-4328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134857WIMDSocial Worker
12742WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Brown CurrentSince Jan 6, 2026 Accepting new patients
County of Brown CurrentSince Jan 6, 2026 Accepting new patients

Locations

3150 Gershwin Dr
Green Bay, WI 54311
Phone (920) 391-4700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1770320681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 GERSHWIN DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114328",
            "telephone_number": "920-391-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 GERSHWIN DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114328",
            "telephone_number": "920-391-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKER",
        "first_name": "JACINDA",
        "middle_name": "J",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "134857",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.