NPI 1396600623 · live from the CMS NPI Registry
Jeslyn Andrews
Social Worker in Kimberly, WI. National Provider Identifier 1396600623, active.
NPI record
| NPI | 1396600623 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 1119 W Kennedy Ave, Kimberly, WI 54136 |
| Practice phone | 920-336-8960 |
| Mailing address | Po Box 309, Siren, WI 54872 |
| Enumerated | December 18, 2025 |
| Last updated | December 18, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | 135734-121 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.