OrganizationActive
Jefferson County Clts Waiver
NPI 1861219081 · Case Management Agency · Jefferson, WI
Provider details
- NPI number
- 1861219081
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Parent organization
- Jefferson County
- Organization subpart
- Yes
- Authorized official
- Brian Bellford, Deputy Director(920) 674-3105
Specialties & taxonomies
Agencies
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1541 Annex Rd
Jefferson, WI 53549-9803
Phone: (920) 674-3105
Street-level locationGet directions
Mailing address
1541 Annex Rd
Jefferson, WI 53549-9803
Registry dates
- Enumerated
- 2024-09-20
- Last updated
- 2024-09-20
- Certified
- 2024-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.