Jacqueline Lee Landers, MSW LCSW CSAC
NPI 1043303787ActiveIndividual· Social Worker, Clinical· Elm Grove, WI
Social Worker, Clinical (MSW LCSW CSAC) in Elm Grove, Wisconsin, licensed in WI, with an NPI issued in October 2006. Medicare paid $8,888 for services to 11 patients in 2024.
Overview
| NPI | 1043303787 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW LCSW CSAC |
| Sole proprietor | Yes |
| NPI issued | Oct 2, 2006 |
| Last updated in NPPES | Aug 21, 2025 |
| Certified by provider | Aug 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6864-123 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 11947 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 113 across 3 procedure codes |
| Paid by Medicare | $8,888 |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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All 23 clinical social workers in Elm Grove · All clinical social workers in Wisconsin