Sarah H Wenneborg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4900 Issued in TN

Practice address

7431 114TH Ave Ste 104
Largo, FL 33773-5119

Phone

(800) 632-6074

NPI assigned

May 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Salena Wenneborg Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1295902708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 GATEWOOD DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371298182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7431 114TH AVE STE 104",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735119",
            "telephone_number": "800-632-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNEBORG",
        "first_name": "SARAH",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALENA",
            "last_name": "WENNEBORG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jazma Wells
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• Alexandra Louise Weot, PA
• Madison Wertovitch
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• Larry Wessel, PTA
• West Bay Medical Supply, Inc

• Clinical Social Worker in Largo, FL
• Providers in Largo, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.