Wenona Yvonna Andress, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

41645 Issued in TX

Practice address

3403 73Rd St
Ste 7
Lubbock, TX 79423-1101

Phone

(806) 474-5787

Fax

(806) 500-2936

NPI assigned

Jun 16, 2011

Last updated

Jan 16, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patrick D Randolph PHD Inc

  dba Lighthouse Behavioral Health

  • Psychologist
  • Lubbock, TX
  • NPI 1740267285
  NPD (past)
• Therapractic Management Systems

  • Counselor
  • Lubbock, TX
  • NPI 1144790130

  Clinical

  NPD (past)

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1053606129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 SLIDE RD",
            "address_2": "SUITE 207",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241329",
            "telephone_number": "806-771-8808",
            "fax_number": "806-771-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 73RD ST",
            "address_2": "STE 7",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231101",
            "telephone_number": "806-474-5787",
            "fax_number": "806-500-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRESS",
        "first_name": "WENONA",
        "middle_name": "YVONNA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "41645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle S. Anderson, DO
• Luke Kirby Anderson
• Rocky Anderson, HIS
• Sheila Suzanne Anderson, MA, LPC
• Taylor Anderson, PTA
• Andrew Winslow McDaniel, DMD, P.a.
• Sherry Andrews, NNP
• Autumn Nicole Aneshansley, MPT
• Austin Anfinson, DO
• Angelo Kidney Connection Home Therapies PLLC

• Clinical Social Worker in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.