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

Individual provider Clinical Social Worker · NPI 1013182419

Jennifer J Ebbott, LCSW is a Clinical Social Worker in Madison, Wisconsin. Qualified in 2001, 25 years ago. Practices with Open Door Center for Change, LLC, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
25
Licensed in
WI
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

831 E Washington Ave
Madison, WI 53703-2935
Phone: (608) 255-7356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7109-123 (WI)

Record details

NPI number1013182419
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 25, 2008
Last updated in NPPESApril 25, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Open Door Center For Change, Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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