Active NPI
Jennifer Lynn Wells, LCSW, LICSW
- Clinical Social Worker
- Arlington, VA
National Provider Identifier
1063501682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904005912
- Practice address
- 3838 Cathedral LN
Arlington, VA 22203-3602 - Phone
- (703) 841-2531
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904005912 | VA | Primary |
| Clinical Social Worker | 1041C0700X | LC50077920 | DC |
Addresses
Primary practice location
3838 Cathedral LN
Arlington, VA 22203-3602
Mailing address
8527 Mount Zephyr Dr
Alexandria, VA 22309-2308
Phone (703) 799-1901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50077920 | DC | MD | Clinical Social Worker |
| 0904005912 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063501682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8527 MOUNT ZEPHYR DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223092308",
"telephone_number": "703-799-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 CATHEDRAL LN",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222033602",
"telephone_number": "703-841-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LCSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904005912",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50077920",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.