Individual provider Active NPI

Jennifer L Pozorski, MSW, LCSW,CSAC

  • Mental Health Counselor
  • Oak Creek, WI
National Provider Identifier
1811097900
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7273-123 Issued in WI
Practice address
7071 S 13TH Street
Suite #105
Oak Creek, WI 53154
Phone
(414) 522-1402
NPI assigned
Sep 25, 2006
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2283 WI
Mental Health Counselor 101YM0800X 7273-123 WI Primary
Clinical Social Worker 1041C0700X 7273-123 WI

Addresses

Primary practice location

7071 S 13TH Street
Suite #105
Oak Creek, WI 53154

Mailing address

7071 S 13TH Street
Suite #105
Oak Creek, WI 53154
Phone (414) 507-4540

Other identifiers 1

IdentifierTypeStateIssuer
39393600MedicaidWI

Other names 1

  • Jennifer Strenk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 10, 2024 through Jan 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2283WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Clinical Associates, LTD Addiction (Substance Use Disorder) PastSince Mar 12, 2015 Accepting new patients

Organizations & group practices 1

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1811097900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7071 S 13TH STREET",
            "address_2": "SUITE #105",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "53154",
            "telephone_number": "414-507-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7071 S 13TH STREET",
            "address_2": "SUITE #105",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "53154",
            "telephone_number": "414-522-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZORSKI",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW,CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "2283",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7273-123",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7273-123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39393600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "STRENK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Creek, WI

Sources for this page

Verify at the official NPI Registry.