JACQUELINE WEEDEN LCSW
NPI 1821005406
Social Worker in Port Washington, WI

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
1317 W GRAND AVE, PORT WASHINGTON, WI 53074(262) 284-5789(262) 284-5907 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacqueline Weeden Lcsw NPPES

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

JACQUELINE WEEDEN LCSW (NPI 1821005406) is an individual social worker in Port Washington, Wisconsin, licensed in Wisconsin (7199-123) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1821005406
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJACQUELINE WEEDENCredential: LCSW
Location Address1317 W GRAND AVEPort Washington, WI 53074-2075
Mailing Address1317 W Grand AvePort Washington, WI 53074-2075 · (262) 284-5789 · Fax (262) 284-5907
Fax(262) 284-5907
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1821005406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in WI · 7199-123
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1317 W GRAND AVE, Port Washington, WI 53074

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Weeden Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204867880
PECOS Enrollment IDI20050823000951
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Family Medicine
1317 W GRAND AVE
PORT WASHINGTON, WI 53074
Physical Therapist
1317 W GRAND AVE, LAKE HILLS MEDICAL COMPLEX
PORT WASHINGTON, WI 53074
Specialist/Technologist (Athletic Trainer)
1317 W GRAND AVE
PORT WASHINGTON, WI 53074
Social Worker (Clinical)
1317 W GRAND AVE
PORT WASHINGTON, WI 53074
Social Worker (Clinical)
1317 W GRAND AVE
PORT WASHINGTON, WI 53074
Social Worker (Clinical)
1317 W GRAND AVE
PORT WASHINGTON, WI 53074
Physical Therapist
1317 W GRAND AVE
PORT WASHINGTON, WI 53074
Speech-Language Pathologist
1317 W GRAND AVE
PORT WASHINGTON, WI 53074

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821005406, enumerated as an "individual" on August 03, 2006.

The provider is located at 1317 W GRAND AVE PORT WASHINGTON, WI 53074 and the phone number is (262) 284-5789.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica, Network. Please consult your insurance carrier or call the provider to verify.