MS. KIM MICHELE JAEGER (NPI# 1851797070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851797070 |
| Entity Type | Individual |
| Full Name | MS. KIM MICHELE JAEGER |
| Credential | LCSW SAC |
| Practice Address |
N372 Lincoln Rd Ixonia WI 53036-9508 |
| Practice Telephone | 2623370641 |
| Mailing Telephone | 2623370641 |
| Enumeration Date | 2014-11-16 |
| Last Update Date | 2014-11-16 |
| 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) |
12723-131 | WI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1536-123 | WI | Behavioral Health & Social Service Providers |
| Street Address |
N372 LINCOLN RD |
| City | IXONIA |
| State | WI |
| Zip Code | 53036-9508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043239676 | Kerry Wayne Lynch | Psychologist | 8380 North St., Ixonia, WI 53036 | 2006-07-18 |
| 1669961124 | Duffy David Eberhardt | Emergency Medical Technician, Basic | N7936 Woody Ln, Ixonia, WI 53036-9479 | 2018-05-09 |
| 1003458472 | Angela Lynn Bubnick | Registered Nurse | W1011 Hunter Ln, Ixonia, WI 53036-9482 | 2019-10-17 |
| 1538110515 | Linda Olson Douglas | Family Medicine | W1046 Marietta Ave, Suite 230, Ixonia, WI 53036-9498 | 2006-05-13 |
| 1033398664 | Watertown Regional Medical Center Inc | Family Medicine | W1046 Marietta Ave, Ste 230, Ixonia, WI 53036-9498 | 2007-10-31 |
| 1730133299 | Town of Ixonia | Ambulance | N8320 North St, Ixonia, WI 53036-9710 | 2006-05-20 |
| 1376956367 | Jennifer Michele Gates | Licensed Practical Nurse | W2093 Gary Ln, Ixonia, WI 53036-9724 | 2014-06-06 |
| 1215476874 | Beth Marie Pape | Registered Nurse | N8832 Leiger Ln, Ixonia, WI 53036-9726 | 2017-02-15 |
| 1598925992 | Amy L Lauersdorf | Licensed Practical Nurse | N9163 Ski Slide Rd, Ixonia, WI 53036-9767 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458472 | Angela Lynn Bubnick | Registered Nurse | W1011 Hunter Ln, Ixonia, WI 53036-9482 | 2019-10-17 |
| 1669961124 | Duffy David Eberhardt | Emergency Medical Technician, Basic | N7936 Woody Ln, Ixonia, WI 53036-9479 | 2018-05-09 |
| 1215476874 | Beth Marie Pape | Registered Nurse | N8832 Leiger Ln, Ixonia, WI 53036-9726 | 2017-02-15 |
| 1376956367 | Jennifer Michele Gates | Licensed Practical Nurse | W2093 Gary Ln, Ixonia, WI 53036-9724 | 2014-06-06 |
| 1598925992 | Amy L Lauersdorf | Licensed Practical Nurse | N9163 Ski Slide Rd, Ixonia, WI 53036-9767 | 2008-06-10 |
| 1043239676 | Kerry Wayne Lynch | Psychologist | 8380 North St., Ixonia, WI 53036 | 2006-07-18 |
| 1730133299 | Town of Ixonia | Ambulance | N8320 North St, Ixonia, WI 53036-9710 | 2006-05-20 |
| 1538110515 | Linda Olson Douglas | Family Medicine | W1046 Marietta Ave, Suite 230, Ixonia, WI 53036-9498 | 2006-05-13 |
| 1033398664 | Watertown Regional Medical Center Inc | Family Medicine | W1046 Marietta Ave, Ste 230, Ixonia, WI 53036-9498 | 2007-10-31 |
| 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 |
| 1912506908 | Compassionate Clinical Services, LLC | Social Worker | 1314 S 1st St # 210, Milwaukee, WI 53204-2405 | 2020-10-20 |
| 1326655564 | Ryan Joseph Jones | Social Worker | 904 Angelo Rd, Sparta, WI 54656-1416 | 2020-09-30 |
| 1841805033 | Alyssa Kress | Social Worker | 3805 Mount View Ave Apt 17, Weston, WI 54476-6449 | 2020-09-14 |
| 1659986560 | Association of Community Empowerment, LLC | Social Worker | 3500 N Sherman Blvd Ste 303, Milwaukee, WI 53216-3463 | 2020-09-09 |
| 1316550205 | Ellice Plant | Social Worker | 2643 N Newhall St, Milwaukee, WI 53211-3517 | 2020-08-28 |
| 1609488634 | Megan Wrenn | Social Worker | 1211 County Road I, Hudson, WI 54016-6916 | 2020-08-20 |
| 1801407895 | Maxine Fran Rabinowe | Social Worker | 1943 N Summit Ave Apt 14, Milwaukee, WI 53202-1386 | 2020-08-12 |
| 1275143521 | Sara Kay Zwieg | Social Worker | 851 Rogers St, Milton, WI 53563-1767 | 2020-08-02 |
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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.