Wellspring Emotional Health, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0000680 Issued in DE

Legal business name

WELLSPRING EMOTIONAL HEALTH, LLC

Doing business as

Amy Penrod Weir

Practice address

900 Foulk Rd
Suite 201
Wilmington, DE 19803

Phone

(302) 377-8341

Fax

(866) 277-1795

NPI assigned

Dec 10, 2015

Last updated

Jul 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amy Penrod Weir, LCSWNPI 1770619801

Title

Psychotherapist

Phone

(302) 377-8341

Specialties & licenses 1

Addresses

Other names 1

• Amy Penrod Weir Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Penrod Weir, LCSW

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1770619801
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1316312754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 FOULK RD",
            "address_2": "SUITE 201",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19803",
            "telephone_number": "302-377-8341",
            "fax_number": "866-277-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 FOULK RD",
            "address_2": "SUITE 201",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19803",
            "telephone_number": "302-377-8341",
            "fax_number": "866-277-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING EMOTIONAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "PENROD WEIR",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "302-377-8341",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy Penrod Weir",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amy Penrod Weir",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Welltower Opco Group LLC (Sunrise of Wilmington)
• Beverly J. Welsh, LPN
• Kathleen Welsh
• Kim Welsh
• Kristine M Welsh, APN

• Clinical Social Worker in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.