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Deactivated NPI 1417094038 Deactivated / Inactive NPI Male Practitioner

Don A Jorgensen , LCSW

Psychologist • Monroe, WI

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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, Don Jorgensen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2007
NPI Deactivation Date January 22, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Don Jorgensen, LCSW was a registered Psychologist practicing in Monroe, WI. Throughout an active medical career spanning 19 years, Don Jorgensen provided care at the practice location at 515 22ND AVE until profile deactivation on 2026-01-22.

Practice Location & Contact Primary Location

Practice Address

515 22nd Ave

Monroe, WI 535661569

Telephone 6083242770
Fax 6083242469
Associated Practice Facility / Clinic
🏢 The Monroe Clinic, Inc. Facility NPI 1740291491

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Monroe, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Monroe, WI (1000 Statewide)

Telehealth Adoption Rate
16.7% 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

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WI 2522-123

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Mohammad Saleem

Internal Medicine - Cardiovascular Disease

NPI 1043196025
Michael Hoeper , PT

Physical Therapist

NPI 1134332232

Physical Therapist

Dr. Justin Avigliano , DO

Emergency Medicine

NPI 1245859297

Doctor of Osteopathic Medicine (D.O.)

Hayley Jordan , OTRL, CLT

Occupational Therapist

NPI 1447464516

Occupational Therapist Registered & Licensed, Certified Lymphedema Therapist

NPI 1467599381

Registered Dietitian, CD, Licensed Dietitian, Certified Diabetes Educator

Tonya Milz , PTA

Physical Therapy Assistant

NPI 1528397163

Physical Therapist Assistant

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 January 22, 2026

Record deactivated on January 22, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 515 22ND AVE, MONROE, WI 535661569 (Tel: 6083242770)

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Updated Business Mailing Address July 08, 2007

Registered at 1906 EAGLEWOOD DRIVE, VERONA, WI 535937800

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Provider Name / Credentials Updated July 08, 2007

Recorded as DON JORGENSEN, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #2522-123 in WI)

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Initial NPI Registration & Enumeration January 31, 2007

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: 1417094038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2007
Last Update: July 08, 2007
Deactivation Date: January 22, 2026

Mailing Address

1906 Eaglewood Drive

Verona, WI 535937800

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.