Individual provider Active NPI

Wendy Rodriguez Sanchez, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1356053482
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20871 Issued in FL
Practice address
2300 N Florida Mango Rd
West Palm Beach, FL 33409-6416
Phone
(561) 472-9990
Fax
(561) 848-4461
NPI assigned
Dec 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 SW20871 FL Primary

Addresses

Primary practice location

2300 N Florida Mango Rd
West Palm Beach, FL 33409-6416

Mailing address

2748 SW 120TH Ter Unit 1008
Miramar, FL 33025-0763
Phone (305) 857-2408

Other practice location 1

2748 SW 120th Ter Unit 1008
Miramar, FL 33025-0763
Phone (305) 857-2408

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
I20230210000174 FL Practitioner - Clinical Social Worker 9638541162 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Inc. CurrentSince Feb 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1356053482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 SW 120TH TER UNIT 1008",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330250763",
            "telephone_number": "305-857-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N FLORIDA MANGO RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096416",
            "telephone_number": "561-472-9990",
            "fax_number": "561-848-4461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2748 SW 120th Ter Unit 1008",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330250763",
            "country_code": "US",
            "telephone_number": "305-857-2408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ SANCHEZ",
        "first_name": "WENDY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.