Organization Active NPI

Wellness Network LLC

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1407531916
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WELLNESS NETWORK LLC
Practice address
4915 Saint Elmo Ave Ste 504
Bethesda, MD 20814-6019
Phone
(301) 229-0063
NPI assigned
Jun 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Stanley PezzaniteNPI 1528899572
Title
Owner/Cfo
Phone
(301) 956-6929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4915 Saint Elmo Ave Ste 504
Bethesda, MD 20814-6019

Mailing address

4915 Saint Elmo Ave Ste 504
Bethesda, MD 20814-6019

Other names 1

  • DBT Maryland In Network Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1407531916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 SAINT ELMO AVE STE 504",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 SAINT ELMO AVE STE 504",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146019",
            "telephone_number": "301-229-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "PEZZANITE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "301-956-6929"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBT Maryland In Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.