Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SANDRA JACQUES LCSW
NPI 1154312544
Social Worker - Clinical in Port Washington, WI

Active since November 03, 2005
121 W MAIN ST, SUITE 350, PORT WASHINGTON, WI 53074(262) 284-8130(262) 284-8104 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sandra Jacques Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA JACQUES LCSW (NPI 1154312544) is an individual clinical provider in Port Washington, Wisconsin, licensed in Wisconsin (548123) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1154312544
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSANDRA JACQUESCredential: LCSW
Location Address121 W MAIN ST, SUITE 350Port Washington, WI 53074-1813
Mailing AddressPo Box 994, Suite 350Port Washington, WI 53074-0994 · (262) 284-8130 · Fax (262) 284-8104
Fax(262) 284-8104
Sole ProprietorNo
Enumeration DateNovember 3, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1154312544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 548123
Definition

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.

121 W MAIN ST, Port Washington, WI 53074

Other Identifiers 1

Medicaid39246300WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
121 W MAIN ST, #350
PORT WASHINGTON, WI 53074
Counselor
121 W MAIN ST
PORT WASHINGTON, WI 53074
Community/Behavioral Health
121 W MAIN ST
PORT WASHINGTON, WI 53074
Nursing Care
121 W MAIN ST
PORT WASHINGTON, WI 53074
Marriage & Family Therapist
121 W MAIN ST
PORT WASHINGTON, WI 53074
Community/Behavioral Health
121 W MAIN ST
PORT WASHINGTON, WI 53074
Registered Nurse
121 W MAIN ST
PORT WASHINGTON, WI 53074
Registered Nurse
121 W MAIN ST
PORT WASHINGTON, WI 53074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Jacques's NPI number?

The NPI number for Sandra Jacques is 1154312544. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Sandra Jacques located?

Sandra Jacques practices at 121 W Main St Suite 350, Port Washington, WI 53074. The listed phone number is (262) 284-8130.

What is Sandra Jacques's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Sandra Jacques was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.