Jeffrey Wells, BS, LBSW, CADC, QMHP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802080976 Issued in MI

Practice address

201 Mulholland St
Bay City, MI 48708-7693

Phone

(989) 497-1304

Fax

(989) 497-1321

NPI assigned

Nov 14, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1245636588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 AMES ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086760",
            "telephone_number": "989-450-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MULHOLLAND ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087693",
            "telephone_number": "989-497-1304",
            "fax_number": "989-497-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JEFFREY",
        "credential": "BS, LBSW, CADC, QMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802080976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne C. Weidner, D.D.S.
• Weigandt Hearing LLC
• Madeline Rose Welch, PA-C
• Meghan Weller
• Wellness Family Practice P.C.
• Jessica Marie Wells
• Lisa Wells, LMSW
• Karstin J Wendling, LMSW, BCBA
• Paiton Kay Wenger
• Brittanry Ann Wenglikowski, BT

• Social Worker in Bay City, MI
• Providers in Bay City, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.