Jacquelyn Mae Block, MFT, LCSW, LMFT
Clinical Social Worker · Fond Du Lac, WI
Jacquelyn Mae Block, MFT, LCSW, LMFT is a clinical social worker with a practice address in Fond Du Lac, Wisconsin, and NPI 1336360429, issued on May 2, 2007. Check the license (Wisconsin 2841-123, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacquelyn Mae Block
- Credential
- MFT, LCSW, LMFT
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License numbers
- 2841-123 WI
226-124 WI
Self-reported in NPPES; status is on the state search - Practice location
- 430 E Division St, Fond Du Lac, WI 54935
- Phone
- (920) 926-4209
- Enumerated
- May 2, 2007
- Record last updated
- Dec 16, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20190312001399); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 4,142 in Wisconsin → Look up another NPI →
Also registered at 430 E Division St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Jacquelyn Mae Block in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 2841-123Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Agnesian Healthcare IncFond Du Lac, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacquelyn Mae Block among 4,142 clinical social worker records in Wisconsin
Jacquelyn Mae Block, MFT, LCSW, LMFT is one of 4,142 clinical social worker records with a practice address in Wisconsin. 22% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 20% of them.
- NPI issued2007 · 20% of these records are older, 68% newer
- In a Medicare fileYes · 22% of these records are
- In the CMS Doctors and Clinicians fileYes · 29% of these records are
- Graduated1990 · median 2010 among the 1,186 with a school on file
- Record last updated2020 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
26 clinical social worker records list a practice address in Fond Du Lac
They are 26 of the 1,312 NPPES records with a practice address in Fond Du Lac, and 4,142 clinical social worker records in Wisconsin.
All 4,142 in Wisconsin → Every provider in Fond Du Lac → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Anne Brunette, MSWFond Du Lac, WI 549351942429949
- Thomas Cook, LCSWFond Du Lac, WI 549351972666832
- Carolyn EssmannFond Du Lac, WI 549351578014817
- Donna Glissendorf, MSW, LCSW, CSACFond Du Lac, WI 549351306187240
- Alicia Hans, MSW, LCSWFond Du Lac, WI 549351962982421
- Johanna Manthey, LCSWFond Du Lac, WI 549351033560016
- Bryan Mischler, LCSWFond Du Lac, WI 549351255704201
- Judith Pollard, MSW LCSWFond Du Lac, WI 549351649346438
Common questions
What is Jacquelyn Mae Block, MFT, LCSW, LMFT's NPI number?
Jacquelyn Mae Block, MFT, LCSW, LMFT's National Provider Identifier (NPI) is 1336360429, issued on May 2, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Jacquelyn Mae Block, MFT, LCSW, LMFT located?
The NPPES record lists a practice address at 430 E Division St, Fond Du Lac, WI, 54935. Phone: (920) 926-4209. Providers update this record themselves, so call before visiting.
How can I verify Jacquelyn Mae Block, MFT, LCSW, LMFT's license?
NPPES lists Wisconsin license number 2841-123, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.