Individual provider Active NPI

Jenna Anne Rosen, MSW, LCSW

  • Clinical Social Worker
  • Amery, WI
National Provider Identifier
1861178113
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12313-123 Issued in WI
Practice address
230 Deronda St
Amery, WI 54001-1412
Phone
(715) 268-0248
NPI assigned
Jun 22, 2023
Last updated
May 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12313-123 WI Primary

Addresses

Primary practice location

230 Deronda St
Amery, WI 54001-1412

Mailing address

230 Deronda St
Amery, WI 54001-1412
Phone (715) 268-0248

Other names 1

  • Jenna Anne Zeman Former name

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
I20250613001695 WI Practitioner - Clinical Social Worker 6103337563 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12313-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amery Regional Medical Center, Inc. CurrentSince May 19, 2025 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince May 19, 2025 Accepting new patients

Locations

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0308

230 Deronda St
Deronda, WI 54001
Phone (715) 268-0060

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, 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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1861178113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 DERONDA ST",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011412",
            "telephone_number": "715-268-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 DERONDA ST",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011412",
            "telephone_number": "715-268-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "JENNA",
        "middle_name": "ANNE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12313-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "ZEMAN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amery, WI

Sources for this page

Verify at the official NPI Registry.