Jason A Kersten, APSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

129793-121 Issued in WI

Practice address

2005 Highland Ave
Eau Claire, WI 54701-4455

Phone

(715) 832-5454

NPI assigned

Jul 7, 2015

Last updated

Jul 7, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1770966913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 HARTZELL LN APT 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547037613",
            "telephone_number": "715-529-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 HIGHLAND AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014455",
            "telephone_number": "715-832-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSTEN",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "129793-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Kephart, DC
• Rachel Jo Keppers, GENETIC COUNSELOR
• Michael William Kern, MD
• Myles David Keroack, MD
• Karissa Kerstan, P.A.-C.
• Jaydev Kesrani, MD
• Drake Allen Kessler, OTR/L
• Caleb Andrew Ketchens, NP
• Jacob Keuler, BA
• Samantha K. Kewin, APNP

• Clinical Social Worker in Eau Claire, WI
• Providers in Eau Claire, 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 Jul 7, 2015; 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.