Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charrise Katrina Jack

Individual provider Social Worker · NPI 1780460980

Charrise Katrina Jack is a Social Worker in Milwaukee, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4235 N 52nd St
Milwaukee, WI 53216-1337
Phone: (414) 617-5299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1780460980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2023
Last updated in NPPESSeptember 4, 2023
Certification dateSeptember 4, 2023
Mailing address4235 N 52nd St, Milwaukee, WI 53216-1337

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