Jennifer Paige Korycanek

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8253.123 Issued in WI

Practice address

W156N8327 Pilgrim Rd Ste 302
Menomonee Falls, WI 53051-3776

Phone

(262) 975-0012

NPI assigned

Oct 5, 2018

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1790250736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 CRESCENT LN",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292641",
            "telephone_number": "773-332-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W156N8327 PILGRIM RD STE 302",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513776",
            "telephone_number": "262-975-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORYCANEK",
        "first_name": "JENNIFER",
        "middle_name": "PAIGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8253.123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Knezevich, NP
• Yuka Kobayashi, DO
• John K. Konkel, M.D.
• Kurt F. Konkel, M.D.
• Philip D. Konkel, M.D.
• Jeffin K Koshy, PHARMD
• Erin B. Kosolcharoen, OT
• Brendan Tyler Koxlien, MD
• Gretchen M Kramer, PT
• Michael Jan Krasny, PHARM.D.

• Clinical Social Worker in Menomonee Falls, WI
• Providers in Menomonee Falls, 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 Oct 5, 2018; 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.