Healthcare Provider Details

I. General information

NPI: 1619933496
Provider Name (Legal Business Name): JENNIFER ANN YESSA-KAST MSSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8383 GREENWAY BLVD STE 500
MIDDLETON WI
53562-3529
US

IV. Provider business mailing address

8383 GREENWAY BLVD STE 500
MIDDLETON WI
53562-3529
US

V. Phone/Fax

Practice location:
  • Phone: 608-274-0355
  • Fax: 608-274-5546
Mailing address:
  • Phone: 608-274-0355
  • Fax: 608-274-5546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6600
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: