NPIMap

Organization Active NPI

Wellspectrum, LLC

  • Clinical Social Worker
  • Dover, DE
National Provider Identifier
1033950803
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WELLSPECTRUM, LLC
Practice address
1111B S Governors Ave Ste 20788
Dover, DE 19904-6903
Phone
(888) 682-3024
NPI assigned
Jun 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Junker, LCSW-CNPI 1417620477
Title
Therapist
Phone
(602) 615-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1111B S Governors Ave Ste 20788
Dover, DE 19904-6903

Mailing address

1111B S Governors Ave Ste 20788
Dover, DE 19904-6903

National Provider Directory

National Provider Directory

Locations

1111B S Governors Ave
Ste 20788
Dover, DE 19904
Phone (888) 682-3024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1033950803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111B S GOVERNORS AVE STE 20788",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111B S GOVERNORS AVE STE 20788",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046903",
            "telephone_number": "888-682-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPECTRUM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "JUNKER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "602-615-7800",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.