MRS. SARAH MARIE JAECK (NPI# 1619480571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619480571 |
| Entity Type | Individual |
| Full Name | MRS. SARAH MARIE JAECK |
| Other Name | MS. SARAH MARIE GREGORY |
| Credential | APSW |
| Practice Address |
5735 Durand Ave Mount Pleasant WI 53406-5011 |
| Practice Telephone | 2625981392 |
| Mailing Telephone | 2625981392 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2020-03-13 |
| 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) |
17770 | WI | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 130579 | WI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
9306 | WI | Behavioral Health & Social Service Providers |
| Street Address |
5735 DURAND AVE |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859699 | Mackenzie Ryan Sarbacker | Licensed Practical Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2020-10-20 |
| 1528674330 | Alicia S Balistreri | Counselor | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2020-09-17 |
| 1639702228 | Maria-gretchen Fabroa Wagner-richardson | Registered Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2020-02-21 |
| 1164066916 | Danielle L James | Licensed Practical Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2019-11-05 |
| 1568023943 | Terri Lee Wallow | Counselor | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2019-06-26 |
| 1316505480 | Michelle Brown | Registered Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2019-06-03 |
| 1487110110 | Dana C Clark | Licensed Practical Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2019-02-19 |
| 1972074672 | Doreen Jane Uick | Registered Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2018-12-07 |
| 1649745340 | Miriam E Corona | Counselor | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2018-10-09 |
| 1275034514 | Karen Novak | Registered Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2018-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| 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 |
|---|---|---|---|---|
| 1508471475 | Beth Allison Ringel | Social Worker | 2108 Andover Way, Mount Pleasant, SC 29466-6997 | 2020-09-08 |
| 1679130645 | Stefanie S Smith | Social Worker | 1488 S Winn Rd, Mount Pleasant, MI 48858-8235 | 2019-05-24 |
| 1821655184 | Kaylee Johnson | Social Worker | 8800 Washington Ave Ste 300, Mount Pleasant, WI 53406-3705 | 2019-05-22 |
| 1669948899 | Christopher Clark Hawk | Social Worker | 120 S 100 W, Mount Pleasant, UT 84647-1509 | 2018-10-15 |
| 1457890493 | Bethany T Bojcic | Social Worker | 8800 Washingotn Avenue, Suite 100, Mount Pleasant, WI 53406-3705 | 2017-02-22 |
| 1437694676 | Caitlin Kratz | Social Worker | 1345 Roddington St, Mount Pleasant, SC 29464-3913 | 2016-12-26 |
| 1649722844 | Shana Rachelle Sills | Social Worker | 1300 W 16th St, Mount Pleasant, TX 75455-2046 | 2016-11-04 |
| 1598121204 | Deborah Brunner | Social Worker | 1060 Cliffwood Dr Ste B, Mount Pleasant, SC 29464-3687 | 2016-01-11 |
| 1538533153 | Acs Inc. | Social Worker | 407 E Broadway St, Mount Pleasant, MI 48858-2649 | 2015-11-19 |
| 1023487519 | Tabitha Nichole Cook | Social Worker | 8894 Oldenburg Dr, Mount Pleasant, NC 28124-8543 | 2015-09-15 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
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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.