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

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

Other identifiers 1

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 and National Provider Directory roles.

• Patrick D Randolph PHD Inc

  • 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "TX"
        }
    ],
    "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.