Jill Wellenbach, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0339311-1 Issued in NY

Practice address

23 Croton Ave
Hastings on Hudson, NY 10706-1809

Phone

(914) 263-8505

Fax

(914) 591-5823

NPI assigned

Dec 17, 2008

Sex

Female

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

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": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1154567451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CROTON AVE",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061809",
            "telephone_number": "914-253-8505",
            "fax_number": "914-591-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CROTON AVE",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061809",
            "telephone_number": "914-263-8505",
            "fax_number": "914-591-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLENBACH",
        "first_name": "JILL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0339311-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ann Walters, MSOT, OTR/L
• Boju Wang, L.AC.
• Kate Washton, MSW
• Kathryn Ruth Weinlein, FNP
• Holly Weinrib, MA, CCC-SLP
• Young Adult Institute, Inc.
• Your Dream, Inc
• Karen Zager, PH.D.
• Eliza Zimmerer
• Elizabeth Berman Zuch, PH.D.

• Clinical Social Worker in Hastings on Hudson, NY
• Providers in Hastings on Hudson, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.