JESSICA LYNN CARROLL (NPI# 1720343437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720343437 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN CARROLL |
| Credential | LCSW |
| Practice Address |
1095 Midway Rd Menasha WI 54952-1115 |
| Practice Telephone | 9207202300 |
| Practice Fax Number | 9207203719 |
| Mailing Telephone | 9207203700 |
| Mailing Fax Number | 9207203860 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7474 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336643188 | Jessica Leigh Carroll | Occupational Therapist | 35278 Richland St, Livonia, MI 48150-2657 | 2018-03-19 |
| 1306222401 | Jessica Elizabeth-rose Carroll | Counselor | 11-3059 Plumeria Street, Mountain View, HI 96771-1570 | 2015-07-31 |
| 1336498443 | Jessica Carolina Carroll | Counselor | 259 E. Oakdale Ave, Crestview, FL 32539 | 2012-09-05 |
| 1548546237 | Jessica B Carroll | Registered Nurse | 814 S Hickory St, Mauston, WI 53948-1923 | 2011-10-26 |
| 1689201790 | Jessica Rae Carroll | Counselor | 7474 Greenway Center Dr Ste 202, Greenbelt, MD 20770-3504 | 2020-03-26 |
| 1104329598 | Jessica Carroll | Community Health Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2018-03-13 |
| 1780196634 | Jessica Anne Carroll | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2017-11-01 |
| 1881053767 | Jessica Rachael Carroll | Registered Nurse | 24 Lyman St, Suite 300, Westborough, MA 01581-1482 | 2016-02-19 |
| 1801271663 | Jessica Carroll | Social Worker | 4240 Hunt Rd, Blue Ash, OH 45242-6612 | 2015-07-22 |
| 1750683058 | Jessica Graham Carroll | Nurse Anesthetist, Certified Registered | 1015 Nw 22nd Ave, Anesthesia Dept, Portland, OR 97210-3025 | 2010-11-19 |
| Street Address |
1095 MIDWAY RD |
| City | MENASHA |
| State | WI |
| Zip Code | 54952-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968773 | Joanna Morgan | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2005-10-28 |
| 1023628203 | Yvette Samantha Goebel | Psychologist | 1095 Midway Rd, Menasha, WI 54952-1115 | 2020-08-03 |
| 1861034456 | Noelle R Pannebaker | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-10-15 |
| 1073164307 | Betty J Atchison | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-09-27 |
| 1568018604 | Melissa A Schmidt | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-08-14 |
| 1114571999 | Tammy M Flynn | Nurse Practitioner | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-07-30 |
| 1407410418 | Rebecca Ann Kersten | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-04-24 |
| 1346718749 | Greg A Delaney | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2018-11-05 |
| 1386135614 | Leslie J Steckbauer | Counselor | 1095 Midway Rd, Menasha, WI 54952 | 2018-05-22 |
| 1972006831 | Amanda Jean Swaw-wyer | Counselor | 1095 Midway Rd, Menasha, WI 54952 | 2018-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275776239 | Sharon Louise Crowe | Dental Hygienist | 1814 North Appleton Road, Menasha, WI 54952 | 2009-04-07 |
| 1003056110 | Nicole Marie Guyette | Dental Hygienist | 814 N. Appleton Road, Menasha, WI 54952 | 2009-03-02 |
| 1760627624 | Jan Charles Sarnecki | Orthopaedic Surgery | 1814 N. Appleton Road, Menasha, WI 54952 | 2008-12-08 |
| 1588828297 | Lesley R Lathrop | Registered Nurse | 1764 Oakridge Court, Menasha, WI 54952 | 2008-07-11 |
| 1699965137 | Lisa Randerson | Counselor | 1427c Province Terrace, Menasha, WI 54952 | 2007-07-31 |
| 1689748675 | Lisa Lynn Lang Riegel | Dentist | 1155 Wittman Drive, Menasha, WI 54952 | 2006-11-20 |
| 1164596144 | Robert Charles Lang | Dentist | 1155 Wittmann Drive, Menasha, WI 54952 | 2006-11-20 |
| 1366527947 | Karen Patricia Schmidt | Case Manager/Care Coordinator | 1810 Appleton Road, Menasha, WI 54952 | 2006-10-25 |
| 1376647388 | Goodwill Industries of North Central Wi | Counselor | 1800 Appleton Road, Menasha, WI 54952 | 2006-09-11 |
| 1306350970 | Tayler Leigh Maulick | Physical Therapy Assistant | 1700 Midway Rd, Menasha, WI 54952 | 2017-11-19 |
| Find all providers in zip 54952 | ||||
| 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 |
|---|---|---|---|---|
| 1992061022 | Healthy Changes Counseling Center | Social Worker | 1486 Kenwood Dr, Menasha, WI 54952-1133 | 2012-04-03 |
| 1639191018 | Laurel Howard-boardman | Social Worker | W6385 Firelane 8, Menasha, WI 54952-9746 | 2006-07-24 |
| 1821082462 | Judith A Yocius | Social Worker | 1478 Kenwood Ctr, Suite 1, Menasha, WI 54952-1161 | 2005-09-09 |
| 1184618571 | Judith Margaret Doersch | Social Worker | 1478 Kenwood Dr, Menasha, WI 54952-1153 | 2005-08-31 |
| 1275194474 | Melissa Lemiesz | Social Worker | 1478 Kenwood Dr Ste 1, Menasha, WI 54952-1161 | 2019-06-27 |
| 1427548262 | Stephanie M Coulter | Social Worker | 130 Main St Ste 200, Menasha, WI 54952-3181 | 2018-05-17 |
| 1700315884 | Elysabeth Meehan | Social Worker | 1478 Kenwood Dr Ste 1, Menasha, WI 54952-1161 | 2017-06-12 |
| 1356884027 | Ashley Katz | Social Worker | 1478 Kenwood Dr, Suite 1, Menasha, WI 54952-1161 | 2016-11-29 |
| 1518263235 | Sarah G Meyer | Social Worker | 1095 Midway Rd, Menasha, WI 54952-1115 | 2011-01-27 |
| 1477714939 | Christine Marie Vander Wielen | Social Worker | 1476 Kenwood Ctr, Menasha, WI 54952-1134 | 2008-06-18 |
| Find all providers in MENASHA | ||||
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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.