Individual
JENNA MAE DALGORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, APSW, SAC-IT
Contact information
Practice address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-6800
(920) 437-3540
Mailing address
PO BOX 22308, GREEN BAY, WI 54305-2308
(920) 436-6800
(920) 437-3540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20765
WI
1041C0700X
Clinical Social Worker
Primary
135092
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135092
STATE LICENSE
WI
05
—
1801368493
—
WI
01
—
20765
STATE LICENSE SAC-IT
WI
Enumeration date
12/20/2018
Last updated
02/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us