Novlett Annie Wheatle-Paul, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7957 Issued in FL

Practice address

1300 Red John Dr
Daytona Beach, FL 32124-1075

Phone

(386) 254-1582

NPI assigned

Jun 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Novlett Annie McKenzie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1053050575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 TURTLE MOUND RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329348504",
            "telephone_number": "321-427-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 RED JOHN DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321241075",
            "telephone_number": "386-254-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLE-PAUL",
        "first_name": "NOVLETT",
        "middle_name": "ANNIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOVLETT",
            "last_name": "MCKENZIE",
            "middle_name": "ANNIE",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Wendt, DC
• Amy Werner, BCBA
• Crystal A Wetzel, LMT
• Jerry Wayne Wharton II
• Brittany Leigh Wheat, COTA/L
• Alexander White, MD
• Cassondra White, OT
• Christina Lee White, MS, CACII, NCPRSS
• David White
• John A White, M.D.

• Clinical Social Worker in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.