JACQUELINE WERNER (NPI# 1295232825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295232825 |
| Entity Type | Individual |
| Full Name | JACQUELINE WERNER |
| Credential | LSW |
| Practice Address |
1102 Fellows St South Bend IN 46601-3514 |
| Practice Telephone | 5742339491 |
| Mailing Telephone | 5742339491 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624448 | Jacqueline F Werner | Registered Nurse | 91-1029 Halana St, Kapolei, HI 96707-2905 | 2019-11-18 |
| 1508060138 | Jacqueline Hajek Werner | Specialist | 2660 Peachtree Rd Nw, 6h, Atlanta, GA 30305-3673 | 2007-06-14 |
| Street Address |
1102 FELLOWS ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558629634 | Indiana Health Centers, Inc | Clinic/Center | 1102 Fellows St, South Bend, IN 46601-3514 | 2012-04-26 |
| 1477059871 | Jodi L Brumbaugh | Counselor | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-04-04 |
| 1275039778 | Marilyn Marie Dodd | Case Manager/Care Coordinator | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-04-03 |
| 1861998775 | Schalisa Michelle Tate | Counselor | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-04-02 |
| 1821593989 | Keilah Ehrman | Counselor | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-03-29 |
| 1750886842 | Jordan Warth | Counselor | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-03-29 |
| 1811365604 | Ywca North Central Indiana | Community/Behavioral Health | 1102 Fellows St, South Bend, IN 46601-3514 | 2015-09-10 |
| 1922438928 | Ywca North Central Indiana | Substance Abuse Rehabilitation Facility | 1102 Fellows St, South Bend, IN 46601-3514 | 2013-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770191892 | Baochun Hind | Counselor | 1205 E Bronson St, South Bend, IN 46615-1141 | 2020-07-15 |
| 1356820765 | Roniqua Teshae Roundtree | Counselor | 53174 Flowing Stream Ct, South Bend, IN 46628-9034 | 2018-08-08 |
| 1760909840 | Precious Pals Inc | Counselor | 1139 E Lasalle Ave, South Bend, IN 46617-3321 | 2017-08-29 |
| 1780053546 | Jonathan Rosengren | Counselor | 415 E Madison Street, South Bend, IN 46617-1109 | 2015-09-22 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437289469 | Randy Nims | Counselor | 701 N Niles Ave, South Bend, IN 46617-1923 | 2007-03-07 |
| 1609906593 | Jenifer R Hill | Counselor | 227n Dixie Way 140, South Bend, IN 46637-3300 | 2007-03-07 |
| 1396873147 | Barbara Lynn Miller | Counselor | 5024 W Western Ave, South Bend, IN 46619-2312 | 2007-03-02 |
| 1255472643 | Deborah Kay Clardy | Counselor | 53846 Generations Dr, South Bend, IN 46635-1543 | 2007-02-09 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on JACQUELINE WERNER.
| 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.