Active NPI
Denise Marie Wells, LCSW
- Clinical Social Worker
- Auburn, IN
National Provider Identifier
1275041378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34008001A
- Practice address
- 1800 Wesley Rd
Auburn, IN 46706-3653 - Phone
- (260) 925-2453
- Fax
- (260) 925-0830
- NPI assigned
- Jan 11, 2018
- 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 | 34008001A | IN | Primary |
Addresses
Primary practice location
1800 Wesley Rd
Auburn, IN 46706-3653
Mailing address
PO Box 817
Kendallville, IN 46755-0817
Phone (260) 347-2453
Other names 1
- Denise Marie Bland
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1275041378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 817",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467550817",
"telephone_number": "260-347-2453",
"fax_number": "260-347-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 WESLEY RD",
"city": "AUBURN",
"state": "IN",
"postal_code": "467063653",
"telephone_number": "260-925-2453",
"fax_number": "260-925-0830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "DENISE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34008001A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "BLAND",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Auburn, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.