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Jaclyn Nina Geitner , LCSW

Social Worker - Clinical β€’ Appleton, WI

Active NPI 1629352844 Individual Practitioner Female Practitioner
Practice location in NPPES

424 E Longview Dr Ste A
Appleton, WI 54911

Call 9202349240 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

424 E Longview Dr Ste A

Appleton, WI 54911

Telephone 9202349240
Fax 9203350014
Organization at the Same NPPES Address or Phone
Jng Counseling Llc Facility NPI 1215436258

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jaclyn Geitner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jaclyn Geitner as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Appleton and Wisconsin

135 active clinicians are listed under Social Worker - Clinical with a practice address in Appleton, WI (4,142 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

4.4% of these 135 clinicians have the CMS telehealth indicator.

16.3% of these 135 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES WI 8509-123

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100033143 (WI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20180406000635

Enrollment State Jurisdiction

WI

PECOS Control ID

9638432560

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2019

Social Worker (license number reported to NPPES: WI 8509-123)

πŸ“
Updated Practice Location August 23, 2018

Registered at 424 E LONGVIEW DR STE A, APPLETON, WI 54911 (Tel: 9202349240)

βœ…
NPI Profile Active January 03, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 03, 2018

Registered at 424 E LONGVIEW DR STE A, APPLETON, WI 549112167 (Tel: 6514911346)

πŸ“
Updated Business Mailing Address January 03, 2018

Registered at 424 E LONGVIEW DR STE A, APPLETON, WI 549112167

πŸ‘€
Provider Name / Credentials Updated January 03, 2018

Recorded as JACLYN GEITNER, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2018

Counselor (license number reported to NPPES: WI 129118-121)

βœ…
NPI Profile Active October 09, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 09, 2013

Registered at 4000 W SPENCER ST, APPLETON, WI 549144015 (Tel: 9207359010)

πŸ“
Business Mailing Address (Initial Record) October 09, 2013

Registered at 4000 W SPENCER ST, APPLETON, WI 549144015 (Tel: 9207359010)

πŸ‘€
Provider Name / Credentials (Initial Record) October 09, 2013

Recorded as JACLYN KNUTSON, APSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2013

Counselor (license number reported to NPPES: WI 129118-121)

🟒
Initial NPI Registration & Enumeration October 06, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629352844
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2011
Last Update: September 12, 2019
Sole Proprietor: No

Other Social Worker - Clinicals in Appleton

All Social Worker - Clinicals in Appleton

Mailing Address

424 E Longview Dr Ste A

Appleton, WI 549112167

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.