Active NPI
Jasmine Rose Mazzei, LCSW
- Clinical Social Worker
- Kaukauna, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10040
- Practice address
- 1500 Arbor Way
Kaukauna, WI 54130-7305 - Phone
- (920) 278-1294
- NPI assigned
- Sep 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10040 | WI | Primary |
Addresses
Primary practice location
1500 Arbor Way
Kaukauna, WI 54130-7305
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
2424 S 102nd St
West Allis, WI 53227-2106
Phone (800) 767-4411
Other practice location 2
4351 W College Ave Ste 3003
Appleton, WI 54914-3928
Phone (920) 843-5660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100094630 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmazzei412918@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1881 Chicago St
De Pere, WI 54115-3770
Phone (920) 403-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients |
Locations
1881 Chicago St
De Pere, WI 54115
Phone (920) 403-8000
1500 Arbor Way
Kaukauna, WI 54130
Phone (877) 229-2273
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1831740141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 ARBOR WAY",
"city": "KAUKAUNA",
"state": "WI",
"postal_code": "541307305",
"telephone_number": "920-278-1294"
}
],
"practiceLocations": [
{
"address_1": "2424 S 102nd St",
"address_purpose": "LOCATION",
"city": "West Allis",
"state": "WI",
"postal_code": "532272106",
"country_code": "US",
"telephone_number": "800-767-4411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4351 W College Ave Ste 3003",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549143928",
"country_code": "US",
"telephone_number": "920-843-5660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAZZEI",
"first_name": "JASMINE",
"middle_name": "ROSE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-27",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "10040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100094630",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmazzei412918@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1500 Arbor Way",
"city": "Kaukauna",
"state": "WI",
"country_code": "US",
"postal_code": "541307305",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1500 Arbor Way",
"city": "Kaukauna",
"state": "WI",
"country_code": "US",
"postal_code": "541307305",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kaukauna, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.