Individual provider Active NPI

Patricia Margaret Wingenfeld, MSSA, LCSW

  • Clinical Social Worker
  • Bradenton, FL
National Provider Identifier
1265453534
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0003303 Issued in FL
Practice address
6170 State Road 70 E Ste 109
Bradenton, FL 34203-9721
Phone
(941) 907-8994
Fax
(941) 782-1212
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0003303 FL Primary

Addresses

Primary practice location

6170 State Road 70 E Ste 109
Bradenton, FL 34203-9721

Mailing address

PO Box 2902
Oneco, FL 34264-2902
Phone (941) 907-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110208001078 FL Practitioner - Clinical Social Worker 2264612274 Practice locations: Bradenton, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6170 53Rd Ave E Sr
Suite 309
Bradenton, FL 34203
Phone (941) 907-8994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003303FLMDClinical Social Worker

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1265453534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2902",
            "city": "ONECO",
            "state": "FL",
            "postal_code": "342642902",
            "telephone_number": "941-907-8994",
            "fax_number": "941-907-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 STATE ROAD 70 E STE 109",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039721",
            "telephone_number": "941-907-8994",
            "fax_number": "941-782-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGENFELD",
        "first_name": "PATRICIA",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "MSSA, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "0003303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.