About

Jacquelyn Mae Block is a Marriage & Family Therapist in Fond Du Lac, Wisconsin. She graduated in 1990. She has over 17 years of experience. Jacquelyn M. Block is a group member of Agnesian Healthcare Inc. Contact Jacquelyn Mae Block to request her Medicare information, payment methods she accepts, or to book an appointment.

Basic Data

PECOS ID: 5890034771

Entity Type: Individual; Not Sole Proprietor

Accepts Med Assignment: She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.

Organization Name: Consultants Laboratory Of Wisconsin, LLC

Gender

Female

Years in Practice

17 years

Healthcare Provider Taxonomy

  • Code: 106H00000X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Marriage & Family Therapist
  • Code: 1041C0700X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Social Worker
  • Specialization: Clinical

Credentials

  • Marriage and Family Therapist (MFT)
  • Licensed Clinical Social Worker (LCSW)
  • Licensed Marriage and Family Therapist (LMFT)

Group Practices

Group practices this therapist belongs to includes:

Agnesian Healthcare Inc
Address 430 E Division St
Fond Du Lac, WI 54935-4560
Group PAC ID 1658289624
Group Members 321

Group Performance Measures

Performance Measures of Agnesian Healthcare Inc

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Inverse Measure No
Attestation Value No
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Measure Title
Inverse Measure No
Attestation Value No
Measure Performance Rate 4
Patients Surveyed 80
Star Value Star Filled Star Filled Star Filled Star Filled Star Filled
Measure Title
Inverse Measure No
Attestation Value No
Star Value Star Filled Star Filled Star Filled Star Filled Star Filled
Measure Title
Inverse Measure No
Attestation Value No
Measure Performance Rate 4
Patients Surveyed 67
Star Value Star Filled Star Filled Star Filled Star Filled Star Filled
Measure Title
Inverse Measure No
Attestation Value No
Measure Performance Rate 3
Patients Surveyed 89
Star Value Star Filled Star Filled Star Filled Star Filled Star Filled
Measure Title
Inverse Measure No
Attestation Value No
Star Value Star Filled Star Filled Star Filled Star Filled Star Filled
Measure Title
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Attestation Value No
Measure Performance Rate 5
Patients Surveyed 100
Star Value Star Filled Star Filled Star Filled Star Filled Star Filled
Measure Title Y
Measure Title
Inverse Measure No
Attestation Value No
Measure Performance Rate 3
Patients Surveyed 70
Star Value Star Filled Star Filled Star Filled Star Filled Star Filled
Measure Title
Inverse Measure No
Attestation Value No
Measure Performance Rate 2
Patients Surveyed 81
Star Value Star Filled Star Filled Star Filled Star Filled Star Filled
Measure Title Y
Measure Title Y
Measure Title
Inverse Measure No
Attestation Value No
Measure Performance Rate 4
Patients Surveyed 100
Star Value Star Filled Star Filled Star Filled Star Filled Star Filled
Measure Title Y
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Licenses

Name License Number State
LCSW 226-124 Verify WI
LMFT 2841-123 Verify WI

Education

Year Graduated
1990

Practice Locations

430 E Division St

Fond Du Lac, WI 54935-4560

Phone Number: (920) 926-4209

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