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

Individual provider Mental Health Counselor · NPI 1760911945

Jacquelyn E Nasby, PROFCOUNSINTRAINI is a Clinical Social Worker in Milwaukee, Wisconsin. Qualified in 2015, 11 years ago. Practices with American Behavioral Clinics SC, a 45-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2017
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Practice location Address checks out

7330 W Layton Ave
Milwaukee, WI 53220
Phone: (414) 817-8896
Fax: (414) 817-8940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2926-226 (WI)

Record details

NPI number1760911945
Entity typeIndividual (Type 1)
GenderFemale
Credentials PROFCOUNSINTRAINI
Sole proprietorNo
NPI enumeratedJune 9, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice American Behavioral Clinics Sc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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