Winell Jenetta Soures, LCSW-R, SAP, MSW,MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R087957-01 Issued in NY

Practice address

650 Warren St
Albany, NY 12208-2998

Phone

(518) 462-6531

Fax

(518) 462-0181

NPI assigned

Jun 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Winell Jenetta Jones Professional name

Medicare fee-for-service enrollment

Enrolled in TX, NY2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Albany Behavioral HealthGroup PAC ID 6709321755, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Albany Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
  • NPI 1609538214
  Medicare reassignment Care Compare group NPD
• Tidemark Therapy PLLC

  • Clinic/Center
  • Denison, TX
  • NPI 1275939001

  Clinical

  Medicare reassignment NPD
• Trotter Social Services

  • Clinical Social Worker
  • Denison, TX
  • NPI 1740971837
  NPD
• Mental Health Managed LLC

  • Professional Counselor
  • Sheridan, WY
  • NPI 1740003235

  Clinical

  NPD (past)
• Texoma Psychological Services PLLC

  • Clinical Psychologist
  • Denison, TX
  • NPI 1942717814
  NPD (past)

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1336433846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 WARREN ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082998",
            "telephone_number": "518-462-6531",
            "fax_number": "518-462-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 WARREN ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082998",
            "telephone_number": "518-462-6531",
            "fax_number": "518-462-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOURES",
        "first_name": "WINELL",
        "middle_name": "JENETTA",
        "name_prefix": "Ms.",
        "credential": "LCSW-R, SAP, MSW,MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "25106",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087957-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R087957-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WINELL",
            "last_name": "JONES",
            "middle_name": "JENETTA",
            "prefix": "MRS.",
            "credential": "LCSW-R, SAP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Danielle Mercedes Soucy
• Soulbridge Health Inc
• Soulbridge Health Inc
• Emily Soule, M.S.ED
• Sound Mind Nurse Practitioner in Psychiatry PLLC
• Karen Sousis, LPN
• Kristina Sousou, DO
• South Colonie Central Schools
• South Colonie High School
• Southwoods Boulevard Dental, P.C.

• Clinical Social Worker in Albany, NY
• Providers in Albany, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.