Active NPI
Jennifer C. Wells, LCSW-R
- Clinical Social Worker
- Buffalo, NY
National Provider Identifier
1194041673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R057929-1
- Practice address
- 400 Forest Ave
Buffalo, NY 14213-1207 - Phone
- (716) 816-2445
- Fax
- (716) 816-2547
- NPI assigned
- Apr 9, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R057929-1 | NY | Primary |
Addresses
Primary practice location
400 Forest Ave
Buffalo, NY 14213-1207
Mailing address
400 Forest Avenue
BPC - Butler Clinic
Buffalo, NY 14213
Phone (716) 816-2445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R057929-1 | NY | MD | Clinical Social Worker |
| 057929 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1194041673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 FOREST AVENUE",
"address_2": "BPC - BUTLER CLINIC",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14213",
"telephone_number": "716-816-2445",
"fax_number": "716-816-2547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FOREST AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142131207",
"telephone_number": "716-816-2445",
"fax_number": "716-816-2547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JENNIFER",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-09",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R057929-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.