Provider Demographics
NPI:1578838264
Name:JORGENSEN CONSULTING INC.
Entity Type:Organization
Organization Name:JORGENSEN CONSULTING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:A
Authorized Official - Last Name:JORGENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:608-251-0839
Mailing Address - Street 1:1912 ATWOOD AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-5380
Mailing Address - Country:US
Mailing Address - Phone:608-251-0839
Mailing Address - Fax:608-255-2752
Practice Address - Street 1:1912 ATWOOD AVE STE 5
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-5380
Practice Address - Country:US
Practice Address - Phone:608-251-0839
Practice Address - Fax:608-255-2752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI25221231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty