Jacqueline Lee Landers, MSW LCSW CSAC is a medicare enrolled "Social Worker - Clinical" provider in Elm Grove, Wisconsin. Her current practice location is
700 Pilgrim Pkwy Ste 203, Elm Grove, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 408-0588.
Jacqueline Lee Landers is licensed to practice in Wisconsin (license number 6864-123) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043303787.
Healthcare Provider's Profile
| Full Name | Jacqueline Lee Landers |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 700 Pilgrim Pkwy Ste 203, Elm Grove, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacqueline Lee Landers attended and graduated from in
NPI Data:
- NPI Number: 1043303787
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 08/21/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jacqueline Lee Landers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043303787 | NPI | - | NPPES |
| 40922200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11947 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6864-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Lee Landers is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacqueline Lee Landers, MSW LCSW CSAC
700 Pilgrim Pkwy Ste 203,
Elm Grove, WI 53122-2064
Ph: (262) 408-0588 | Jacqueline Lee Landers, MSW LCSW CSAC
700 Pilgrim Pkwy Ste 203,
Elm Grove, WI 53122-2064
Ph: (262) 408-0588 |
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