Jessica Wells, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58871 Issued in TX

Practice address

313 East Anderson Lane, Suite 120
Austin, TX 78752

Phone

(512) 961-5575

NPI assigned

May 8, 2019

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

Other names 1

• Jessica Ward Former name

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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1255996807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 SHOAL CREEK BLVD STE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576839",
            "telephone_number": "512-200-4112",
            "fax_number": "512-287-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 EAST ANDERSON LANE, SUITE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78752",
            "telephone_number": "512-961-5575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 E Anderson Ln # 120",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787521236",
            "country_code": "US",
            "telephone_number": "512-961-5575",
            "fax_number": "512-287-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Briana Elizabeth Wells, LCSW
• Christian Elysse Wells, PT
• Donald T Wells, M.D.
• Elizabeth Wells
• Jennifer S Wells, LCSW
• Joe Wells, M.D.
• Leslie L Wells, M.D.
• Mycah Nicolle Wells
• Thealynn Wells, APRN, AGCNS-BC
• Valerie M Wells, LCSW

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.