JENNIFER DOMBOVY (NPI# 1457915514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457915514 |
| Entity Type | Individual |
| Full Name | JENNIFER DOMBOVY |
| Credential | LCSW |
| Practice Address |
151 E Badger Rd Ste A Madison WI 53713-2726 |
| Mailing Address |
N8537 Smith Rd Brooklyn WI 53521-9754 |
| Practice Telephone | 6082502512 |
| Practice Fax Number | 6082502516 |
| Mailing Telephone | 3202929955 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
9096-123 | WI | Behavioral Health & Social Service Providers |
| Street Address |
151 E BADGER RD STE A |
| City | MADISON |
| State | WI |
| Zip Code | 53713-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871916890 | Mary Kathleen Ransom | Registered Nurse | 151 E Badger Rd Ste A, Madison, WI 53713-2708 | 2014-01-27 |
| 1871108944 | Dawn M Gray | Counselor | 151 E Badger Rd Ste A, Madison, WI 53713-2726 | 2020-09-15 |
| 1780205328 | Paris M James | Licensed Practical Nurse | 151 E Badger Rd Ste A, Madison, WI 53713-2726 | 2020-05-06 |
| 1841830098 | April Wery | Counselor | 151 E Badger Rd Ste A, Madison, WI 53713-2726 | 2020-01-15 |
| 1366089658 | Maria Michelle Watson | Registered Nurse | 151 E Badger Rd Ste A, Madison, WI 53713-2726 | 2019-12-05 |
| 1255976817 | Katlyn Marie Fies | Counselor | 151 E Badger Rd Ste A, Madison, WI 53713-2726 | 2019-11-07 |
| 1679123178 | April L Pulvermacher | Counselor | 151 E Badger Rd Ste A, Madison, WI 53713-2726 | 2019-09-17 |
| 1831747278 | Brittany B Cross | Counselor | 151 E Badger Rd Ste A, Madison, WI 53713-2726 | 2019-08-29 |
| 1023572799 | Judie Decato | Registered Nurse | 151 E Badger Rd Ste A, Madison, WI 53713-2726 | 2019-01-28 |
| 1962983643 | Kari Kyle | Counselor | 151 E Badger Rd Ste A, Madison, WI 53713-2708 | 2018-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446257 | Richard Harry Goldberg | Social Worker | 1514 Wood Ln, Madison, WI 53705-1457 | 2020-10-29 |
| 1710586219 | Megan Beckler | Social Worker | 49 Kessel Ct Bldg 25, Madison, WI 53711-6200 | 2020-10-26 |
| 1003436759 | Creating Space, LLC | Social Worker | 1915 Winnebago St Ste 101, Madison, WI 53704-5322 | 2020-04-23 |
| 1871143370 | Cecilia Goldschmidt | Social Worker | 2445 Darwin Rd Ste 15, Madison, WI 53704-3116 | 2019-09-17 |
| 1699321760 | Golden Vibes Counseling Center | Social Worker | 303 S Paterson St, Madison, WI 53703-4528 | 2019-08-14 |
| 1285293530 | Bianca Whitney | Social Worker | 506 Charles Ln, Madison, WI 53711-1312 | 2019-06-11 |
| 1598322505 | Judith Coursen Stevens | Social Worker | 147 Durham Road, Madison, CT 06443-1262 | 2019-05-24 |
| 1750840575 | Kimberly Michelle Horton | Social Worker | 102 Crabapple Grv, Madison, MS 39110-7098 | 2019-03-19 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1528536976 | Emily Elizabeth Morris | Social Worker | 4002 Nakoosa Trl, Madison, WI 53714-1314 | 2018-11-04 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.