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Deactivated NPI 1558634436 Deactivated / Inactive NPI Female Practitioner

Jacqueline Sue Widman , MSW

Social Worker • Rochester, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jacqueline Widman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 22, 2012
NPI Deactivation Date November 16, 2022
Total Practice Duration ~10 Years of Practice (2012 – 2022)

Professional Overview & Biography Verified Profile Summary

Jacqueline Widman, MSW was a registered Social Worker practicing in Rochester, IN. Throughout an active medical career spanning 10 years, Jacqueline Widman provided care at the practice location at 4456 N 1100 W until profile deactivation on 2022-11-16.

Practice Location & Contact Primary Location

Practice Address

4456 N 1100 W

Rochester, IN 469759413

Telephone 5747805707

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Rochester, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Rochester, IN (2058 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 16, 2022

Record deactivated on November 16, 2022

NPI Profile Active February 22, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 22, 2012

Registered at 4456 N 1100 W, ROCHESTER, IN 469759413 (Tel: 5747805707)

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Updated Business Mailing Address February 22, 2012

Registered at 4456 N 1100 W, ROCHESTER, IN 469759413 (Tel: 5747805707)

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Provider Name / Credentials Updated February 22, 2012

Recorded as JACQUELINE WIDMAN, MSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2012

Social Worker

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Initial NPI Registration & Enumeration February 22, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558634436
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2012
Last Update: February 22, 2012
Deactivation Date: November 16, 2022

Mailing Address

4456 N 1100 W

Rochester, IN 469759413

Phone: 5747805707

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.