JENNIFER J BORCHARDT (LCSW CSAC) – Social Worker, NPI 1245589787

JENNIFER J BORCHARDT (LCSW CSAC) is a healthcare provider. based in Wisconsin rapids, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW CSAC. They hold a License No. 16080-132 (WI). The NPI Number for JENNIFER J BORCHARDT (LCSW CSAC) is 1245589787

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER J BORCHARDT (LCSW CSAC)
NPI
1245589787
Phone
(715) 421-8865
Address
2611 12TH STREET SOUTH
Enumeration Date
30 August 2012
Last Update Date
10 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7156002798
Graduation Year
2011 (15 years ago)
PAC ID
0749500858
Group Practice PAC ID
0042645046
Professional Enrollment ID
I20150513000832
Address ID
WI544673415PL2831XRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

Provider Addresses for JENNIFER J BORCHARDT (LCSW CSAC)

  • 2611 12TH STREET SOUTH

    WISCONSIN RAPIDS, WI 54494

    Phone: (715) 421-8865

    Type: Mailing

  • 111 W JACKSON ST

    WISCONSIN RAPIDS, WI 544952702

    Phone: (715) 421-8865

    Type: Mailing

  • 2558 Post Rd

    Plover, WI 544673331

    Phone: (279) 871-5600

    Type: Location

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: 2015-05-13

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
I20150513000832IClinical Social WorkerWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour10412$0
View full utilization report →

Insurance plans in this area (ZIP 54494)

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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: 0042645046View full group profile
NameSpecialtyState
Peripheral Vascular Disease, Family PracticeWI
Mental Health CounselorWI
Clinical Social WorkerWI
Mental Health CounselorIL
Nurse PractitionerWI
Clinical Social WorkerWI
-WI
Mental Health CounselorWI
Mental Health CounselorWI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

Does JENNIFER J BORCHARDT (LCSW CSAC) have a public NPI I can cite?
Public records show JENNIFER J BORCHARDT (LCSW CSAC) under NPI 1245589787.
Is JENNIFER J BORCHARDT (LCSW CSAC)'s NPI status active today?
Active status means JENNIFER J BORCHARDT (LCSW CSAC)'s NPI record is not deactivated in the public file.
What services align with JENNIFER J BORCHARDT (LCSW CSAC)'s listing?
JENNIFER J BORCHARDT (LCSW CSAC)'s public classification highlights Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to JENNIFER J BORCHARDT (LCSW CSAC)?
JENNIFER J BORCHARDT (LCSW CSAC) shows a connection to Wisconsin Rapids, Wisconsin in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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