MS. JENNIFER LEIGH WEIDNER (LCSW) – Clinical Social Worker, NPI 1750438651

MS. JENNIFER LEIGH WEIDNER (LCSW) is a healthcare provider. based in Beloit, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 6135-123 (WI). The NPI Number for MS. JENNIFER LEIGH WEIDNER (LCSW) is 1750438651

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER LEIGH WEIDNER (LCSW)
NPI
1750438651
Phone
(608) 361-0311
Address
74 ECLIPSE CTR
Enumeration Date
4 January 2007
Last Update Date
5 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6083610311
Graduation Year
1994 (32 years ago)
PAC ID
3072867357
Group Practice PAC ID
3678565116
Professional Enrollment ID
I20181127000733
Address ID
WI535113550BE74XXXCTRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

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Provider Addresses for MS. JENNIFER LEIGH WEIDNER (LCSW)

  • Beloit Public Library, 605, Eclipse Boulevard, City of Beloit, Rock County, Wisconsin, 53511, United States

    BELOIT, WI 535113550

    Phone: (608) 361-0311

    Mailing address matches the actual address.

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: 2018-11-27

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
I20181127000733IClinical 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.

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

Insurance plans in this area (ZIP 53511)

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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: 3678565116View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YIL
Clinical Social WorkerIL
Nurse PractitionerIL
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Mental Health CounselorIL
-WI
Nurse PractitionerWI

Reviews

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Frequently asked questions

Can I verify MS. JENNIFER LEIGH WEIDNER (LCSW) with an NPI only?
You can start verification with NPI 1750438651 for MS. JENNIFER LEIGH WEIDNER (LCSW), then check state licensing separately.
Does the file indicate MS. JENNIFER LEIGH WEIDNER (LCSW) is practicing under active NPI?
Directory data currently reports MS. JENNIFER LEIGH WEIDNER (LCSW) as active.
What is MS. JENNIFER LEIGH WEIDNER (LCSW) best known for clinically?
Directory data describes MS. JENNIFER LEIGH WEIDNER (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect MS. JENNIFER LEIGH WEIDNER (LCSW) on a map?
Expect Beloit, Wisconsin as a primary anchor for MS. JENNIFER LEIGH WEIDNER (LCSW) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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