JACQUELINE K ZASKE (LICSW) – Clinical Social Worker, NPI 1760785224

JACQUELINE K ZASKE (LICSW) is a healthcare provider. based in Willmar, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 302974 (MN). The NPI Number for JACQUELINE K ZASKE (LICSW) is 1760785224

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE K ZASKE (LICSW)
NPI
1760785224
Phone
(320) 235-4613
Address
1125 6TH ST SE
Enumeration Date
6 December 2010
Last Update Date
11 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202354613
Graduation Year
2020 (6 years ago)
PAC ID
0446622518
Group Practice PAC ID
7416860457
Professional Enrollment ID
I20230218000556
Address ID
MN562014675WI1125XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for JACQUELINE K ZASKE (LICSW)

  • 1125 6TH ST SE

    WILLMAR, MN 562014675

    Phone: (320) 235-4613

    Type: Mailing

  • 1095 HIGHWAY 15 S

    HUTCHINSON, MN 553505000

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230218000556IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416860457View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical PsychologistMN
Clinical Social WorkerVA
Clinical Social WorkerMN
Nurse PractitionerMN
Clinical Social WorkerTX
Marriage And Family TherapistMN
Mental Health CounselorMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Can I cross-check JACQUELINE K ZASKE (LICSW) using NPI 1760785224?
NPI 1760785224 belongs to JACQUELINE K ZASKE (LICSW); compare other details if you need extra assurance.
Would JACQUELINE K ZASKE (LICSW) appear as active to a payer?
You can treat JACQUELINE K ZASKE (LICSW) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JACQUELINE K ZASKE (LICSW)?
JACQUELINE K ZASKE (LICSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Minnesota is JACQUELINE K ZASKE (LICSW) registered?
Use Willmar, Minnesota as the headline location for JACQUELINE K ZASKE (LICSW) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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