KRISTINE M JACOBS (NPI# 1861947574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861947574 |
| Entity Type | Individual |
| Full Name | KRISTINE M JACOBS |
| Other Name | KRISTINE MICHELS |
| Credential | LCSW |
| Practice Address |
8800 Washington Ave Suite 100 Mount Pleasant WI 53406-3701 |
| Mailing Address |
9000 W Wisconsin Ave Ms 958 Milwaukee WI 53226-4874 |
| Practice Telephone | 2626333591 |
| Practice Fax Number | 2626332619 |
| Mailing Telephone | 4142667615 |
| Mailing Fax Number | 4142666238 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8333-123 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112799 | Kristine Elizabeth Jacobs | Counselor | 25 E Mcclure St, New Bloomfield, PA 17068-9334 | 2020-04-02 |
| Street Address |
8800 WASHINGTON AVE SUITE 100 |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609863406 | Carolyn E Praninsky | Social Worker | 8800 Washington Ave, Suite 100, Mount Pleasant, WI 53406-3701 | 2005-10-05 |
| 1962003707 | Children's Hospital of Wisconsin | Counselor | 8800 Washington Ave, Mount Pleasant, WI 53406-3701 | 2020-11-06 |
| 1588174627 | Racquel Ward | Counselor | 8800 Washington Ave, Mount Pleasant, WI 53406-3701 | 2017-10-03 |
| 1326412693 | Kari Kryshak | Counselor | 8800 Washington Ave, Suite 100, Mount Pleasant, WI 53406-3701 | 2015-11-24 |
| 1174999262 | Children's Medical Group | Pediatrics | 8800 Washington Ave, Suite 300, Mount Pleasant, WI 53406-3701 | 2015-08-12 |
| 1164683900 | Jenny Lynn Miller | Counselor | 8800 Washington Ave, 100, Mount Pleasant, WI 53406-3701 | 2008-06-24 |
| 1548434848 | Children's Service Society of Wisconsin | Counselor | 8800 Washington Ave, Suite 100, Mount Pleasant, WI 53406-3701 | 2008-04-17 |
| 1992812267 | Joy A Rynda | Pediatrics | 8800 Washington Ave, Suite 300, Mount Pleasant, WI 53406-3701 | 2006-08-24 |
| 1235148867 | Aaron J Bauer | Pediatrics | 8800 Washington Ave, Suite 300, Mount Pleasant, WI 53406-3701 | 2006-08-05 |
| 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 |
Please comment or provide details below to improve the information on KRISTINE M JACOBS.
| 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.