Look up the most recent NPI and PECOS records

Jennifer Anne Daniels

Social Worker

Behavioral Health & Social Service Providers

500 W National Ave, Milwaukee, WI 53295-0001

(414) 324-2000 (414) 292-5397

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Anne Daniels does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1710661418
Provider Type
Individual
Full Name
Daniels, Jennifer Anne
Title
Ms.

Gender
Female
Sole Proprietor
No
Enumeration Date
6/13/2023
Last Updated
6/21/2023

Contact Information

Practice Location

500 W National Ave, Milwaukee, WI 53295-0001

(414) 324-2000

Unlisted Fax

Mailing Location

6428 N Atwahl Dr, Glendale, WI 53209-3402

(414) 292-5397

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 128708-121 Wisconsin
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License 10934-120 Wisconsin

Jennifer Anne Daniels

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Guzman-Estrada, Karen

Duncan, Kadeesha D

Hanley, Alfred V

Ellis, Jodie Lynn

Kiefer, Jennifer Marie

Lee, Celena

Blackmon, Tiffany Antoinette

Nisiewicz, Kristin R

Klein, Gretchen Barbara

Joers, Natalie