Sandra Jacques, LCSW in Port Washington, WI - Social Worker

Sandra Jacques, LCSW is a Social Worker - Clinical based in Port Washington, Wisconsin. Sandra Jacques is licensed to practice in Wisconsin (license number 548123) and her current practice location is 121 W Main St, Suite 350, Port Washington, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 284-8130.

NPI number for Sandra Jacques is 1154312544 and her current mailing address is Po Box 994, Suite 350, Port Washington, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154312544.

Contact Information

	Sandra Jacques, LCSW
	121 W Main St, Suite 350, Port Washington, WI 53074-1813
	(262) 284-8130
	(262) 284-8104

Healthcare Provider's Profile

Full Name	Sandra Jacques
Gender	Female
Speciality	Social Worker - Clinical
Location	121 W Main St, Port Washington, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1154312544
Provider Enumeration Date: 11/03/2005
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Sandra Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154312544	NPI	-	NPPES
39246300	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	548123 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Jacques is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sandra Jacques, LCSW Po Box 994, Suite 350, Port Washington, WI 53074-0994 Ph: (262) 284-8130	Sandra Jacques, LCSW 121 W Main St, Suite 350, Port Washington, WI 53074-1813 Ph: (262) 284-8130

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Social Worker in Port Washington, WI

Renee M Keranen, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8133 Fax: 262-284-8104
Roger Blanchard, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 E Pier St, Port Washington, WI 53074 Phone: 262-284-3117 Fax: 262-284-3087
Mrs. Deanna Schultz-depies, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 121 W Main St, #350, Port Washington, WI 53074 Phone: 262-284-8140 Fax: 262-284-8104
Timothy J Shininger, LCSW LMFT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907
Sandra E Black, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907
Lorene Menchaca, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 E Pier St, Port Washington, WI 53074 Phone: 262-284-3117 Fax: 262-284-3087

Sandra Jacques, LCSW - Clinical Social Worker in Port Washington, WI