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

Jennifer E Blease

Individual provider Clinical Social Worker · NPI 1720719834

Jennifer E Blease is a Clinical Social Worker in Watertown, Wisconsin. Qualified in 2022, 4 years ago. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1153 Boughton St Apt 14G
Watertown, WI 53094-3112
Phone: (920) 285-7015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12608-123 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19589-130 (WI)

Record details

NPI number1720719834
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2022
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address1153 Boughton St Apt 14g, Watertown, WI 53094-3112

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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