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

Sandra Jacques, LCSW

Individual provider Clinical Social Worker · NPI 1154312544

Sandra Jacques, LCSW is a Clinical Social Worker in Port Washington, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
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

121 W Main St Ste 350
Port Washington, WI 53074-1813
Phone: (262) 284-8130
Fax: (262) 284-8104
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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 548123 (WI)

Record details

NPI number1154312544
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 3, 2005
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 994, Suite 350, Port Washington, WI 53074-0994

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