JENNIFER R PFANNERSTILL PURNELL (NPI# 1760598221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760598221 |
| Entity Type | Individual |
| Full Name | JENNIFER R PFANNERSTILL PURNELL |
| Credential | LCSW |
| Practice Address |
1655 W Mequon Rd Mequon WI 53092-3254 |
| Mailing Address |
333 E Washington St Suite 2000 West Bend WI 53095-2585 |
| Practice Telephone | 4142284800 |
| Practice Fax Number | 4142470894 |
| Mailing Telephone | 2623354545 |
| Mailing Fax Number | 2623356827 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6895-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40964300 | 05 | |
| WI | 1760598221 | 05 |
| Street Address |
1655 W MEQUON RD |
| City | MEQUON |
| State | WI |
| Zip Code | 53092-3254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619469541 | Ashley Mae Johnson | Behavior Technician | 1655 W Mequon Rd, Mequon, WI 53092-3254 | 2018-06-06 |
| 1962923276 | Iesha V Sanders | Counselor | 1655 W Mequon Rd, Mequon, WI 53092-3254 | 2017-06-28 |
| 1346781671 | Michelle Fox | Counselor | 1655 W Mequon Rd, Mequon, WI 53092-3254 | 2017-03-20 |
| 1811344666 | Wauwatosa Prescription Center Inc | Pharmacy | 1655 W Mequon Rd, Mequon, WI 53092 | 2016-05-23 |
| 1205068616 | Children's Medical Group | Counselor | 1655 W Mequon Rd, Mequon, WI 53092-3254 | 2009-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| 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 |
|---|---|---|---|---|
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1811255482 | Linda Marie Szafranski | Social Worker | 1317 Towne Square Road, Mequon, WI 53092 | 2012-05-02 |
| 1891084133 | Alan Stuart Wolkenstein | Social Worker | 800 W Dandelion Ln, 800 W. Dandelion Lane, Mequon, WI 53092-3302 | 2011-04-06 |
| 1285883868 | Melissa G Hale | Social Worker | 14135 N. Cedarburg Rd, Mequon, WI 53097-1416 | 2008-09-18 |
| 1205953338 | Barbara J Ferket | Social Worker | Galleria Off Bldg #107, 11431 Port Washington Rd, Mequon, WI 53092 | 2007-03-23 |
| 1659442259 | Laurie Berg Pasch | Social Worker | 10303 N Pt Washington Road, Suite #208, Mequon, WI 53092 | 2006-11-13 |
| 1669555231 | William J Wenerowicz | Social Worker | 1240 W Ranchito Lane, American Behavioral Clinics, Mequon, WI 53092 | 2006-10-24 |
| 1982614798 | Mark Alan Morrison | Social Worker | 11518 N Port Washington Rd Ste 202, Mequon, WI 53092-3443 | 2006-08-08 |
| 1447884721 | Jessica Wolfe | Social Worker | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2020-02-26 |
| 1386278661 | Jessica Wolfe, Lcsw, LLC | Social Worker | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | 2020-02-26 |
| Find all providers in MEQUON | ||||
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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.