Judith Dio Wentzell, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1015722 Issued in MA

Practice address

Umassmemorial Medical Center, 55 Lake Ave North
Dept of Care Coordination
Worcester, MA 01655

Phone

(774) 442-3879

Fax

(774) 441-9705

NPI assigned

Jan 30, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1114425675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 S QUINSIGAMOND AVE UNIT 1",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015454268",
            "telephone_number": "774-442-3879",
            "fax_number": "774-441-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UMASSMEMORIAL MEDICAL CENTER, 55 LAKE AVE NORTH",
            "address_2": "DEPT OF CARE COORDINATION",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01655",
            "telephone_number": "774-442-3879",
            "fax_number": "774-441-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZELL",
        "first_name": "JUDITH",
        "middle_name": "DIO",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1015722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Kathryn Wendt, LMHC
• Yanqiu Weng
• Alexandre Joseph Wenk-Bodenmiller, MD
• Karen Wentworth, PSYD
• Simon Allen Wentworth
• Lauren Wentzell
• Michael D Wertheimer, M.D.
• Christina Ann Wertz, PH.D.
• Madison Wescott
• Aleya Wesler

• Clinical Social Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.