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MS. KIM MICHELE JAEGER LCSW SAC NPI 1851797070


NPI Information

NPI: 1851797070
Provider Name: MS. KIM MICHELE JAEGER, LCSW SAC
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
N372 LINCOLN RD
IXONIA, WI
ZIP 53036
Phone: (262) 337-0641
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MS. Kim Michele Jaeger, LCSW SAC is a clinical social worker in Ixonia, WI. The provider is 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. MS. Kim Michele Jaeger, LCSW SAC NPI is 1851797070. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

N372 LINCOLN RD
IXONIA, WI
ZIP 53036-508
Phone: (262) 337-0641

The enumeration date for this NPI number is 11/16/2014 and was last updated on 11/16/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)12723-131WISCONSINNo
21041C0700XSocial WorkerClinical1536-123WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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