Individual provider Active NPI

Wendy Marling Depury, LCSW

  • Clinical Social Worker
  • Pensacola, FL
National Provider Identifier
1275626152
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6344 Issued in FL
Practice address
8212 Northpointe Blvd
Pensacola, FL 32514-6545
Phone
(850) 479-2531
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 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 SW6344 FL Primary

Addresses

Primary practice location

8212 Northpointe Blvd
Pensacola, FL 32514-6545

Mailing address

8212 Northpointe Blvd
Pensacola, FL 32514-6545
Phone (850) 479-2531

Other practice location 1

5190 Bayou Blvd Ste 6
Pensacola, FL 32503-2162
Phone (850) 476-0977

Other identifiers 1

IdentifierTypeStateIssuer
760261800MedicaidFL

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
I20101004000562 FL Practitioner - Clinical Social Worker 7113119694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5190 Bayou Blvd
Suite 6
Pensacola, FL 32503-2162
Phone (850) 476-0977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW6344FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Psychiatric Center PA CurrentSince Oct 24, 2016 Accepting new patients

Locations

5190 Bayou Blvd
Ste 6
Pensacola, FL 32503
Phone (850) 476-0977

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1275626152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 NORTHPOINTE BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146545",
            "telephone_number": "850-479-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 NORTHPOINTE BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146545",
            "telephone_number": "850-479-2531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5190 Bayou Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032162",
            "country_code": "US",
            "telephone_number": "850-476-0977",
            "fax_number": "850-476-2558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPURY",
        "first_name": "WENDY",
        "middle_name": "MARLING",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760261800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.