Provider Demographics
NPI:1811097900
Name:POZORSKI, JENNIFER L (MSW, LCSW,CSAC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:L
Last Name:POZORSKI
Suffix:
Gender:F
Credentials:MSW, LCSW,CSAC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:STRENK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7071 S 13TH STREET
Mailing Address - Street 2:SUITE #105
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154
Mailing Address - Country:US
Mailing Address - Phone:414-507-4540
Mailing Address - Fax:
Practice Address - Street 1:7071 S 13TH STREET
Practice Address - Street 2:SUITE #105
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154
Practice Address - Country:US
Practice Address - Phone:414-522-1402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2283101YA0400X
WI7273-1231041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39393600Medicaid
WI001184521Medicare PIN