JACLYN NINA GEITNER (NPI# 1629352844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629352844 |
| Entity Type | Individual |
| Full Name | JACLYN NINA GEITNER |
| Other Name | JACLYN NINA KNUTSON |
| Credential | LCSW |
| Practice Address |
424 E Longview Dr Ste A Appleton WI 54911 |
| Mailing Address |
424 E Longview Dr Ste A Appleton WI 54911-2167 |
| Practice Telephone | 9202349240 |
| Practice Fax Number | 9203350014 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8509-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100033143 | 05 |
| Street Address |
424 E LONGVIEW DR STE A |
| City | APPLETON |
| State | WI |
| Zip Code | 54911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891077806 | Breanna L Vonck-arndt | Social Worker | 424 E Longview Dr Ste A, Appleton, WI 54911 | 2011-09-15 |
| 1083113021 | Badger Counseling LLC | Clinic/Center | 424 E Longview Dr Ste A, Appleton, WI 54911-2167 | 2018-02-05 |
| 1215436258 | Jng Counseling LLC | Clinic/Center | 424 E Longview Dr Ste A, Appleton, WI 54911 | 2018-02-05 |
| 1629322730 | Neeley K Welch-lamers | Counselor | 424 E Longview Dr Ste A, Appleton, WI 54911-2167 | 2012-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| 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 |
|---|---|---|---|---|
| 1922616895 | Maria Recker | Social Worker | N319 Hillside Dr, Appleton, WI 54915-9449 | 2020-07-16 |
| 1447762547 | Jennifer L Markvart | Social Worker | 5497 W Waterford Ln Ste C, Appleton, WI 54913-8489 | 2017-10-30 |
| 1669823381 | Andrea Guenther-pal | Social Worker | 477 S Nicolet Rd Ste 1, Appleton, WI 54914-8270 | 2016-06-23 |
| 1245617679 | Michelle Lee Van Thiel I | Social Worker | N9487 County Rd N, Appleton, WI 54915-9316 | 2015-05-06 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1720428030 | Andrea F Fralin | Social Worker | 4635 W College Ave, Appleton, WI 54914-8507 | 2013-07-01 |
| 1417200981 | Shereen E Leroy | Social Worker | 14 Tri Park Way Bldg 2, Appleton, WI 54914-6445 | 2012-10-22 |
| 1619243219 | Kristy L Robb | Social Worker | 412 E Longview Dr Ste C, Appleton, WI 54911-2168 | 2012-03-28 |
| 1891077806 | Breanna L Vonck-arndt | Social Worker | 424 E Longview Dr Ste A, Appleton, WI 54911 | 2011-09-15 |
| 1275708497 | Kathryn Augusta Blanker | Social Worker | 14 Tri Park Way, Bldg 2, Appleton, WI 54914-6430 | 2008-04-29 |
| Find all providers in APPLETON | ||||
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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.