Active NPI
Winter Chanal Wesley, LCSW-C
- Social Worker
- Woodlawn, MD
National Provider Identifier
1417288978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15057
- Practice address
- 2303 Wheatley Dr
204
Woodlawn, MD 21207-7737 - Phone
- (443) 316-8614
- NPI assigned
- Jan 22, 2010
- Last updated
- Jan 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 15057 | MD | Primary |
Addresses
Primary practice location
2303 Wheatley Dr
204
Woodlawn, MD 21207-7737
Mailing address
9026 Allenswood Rd
Randallstown, MD 21133-3731
Phone (757) 581-1090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130403000398 | MD | Practitioner - Clinical Social Worker | 1850536376 | Practice locations: Randallstown, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15057 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seasons Therapy Services, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Randallstown, MD
- NPI 1457915282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358294400000",
"number": "1417288978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9026 ALLENSWOOD RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211333731",
"telephone_number": "757-581-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 WHEATLEY DR",
"address_2": "204",
"city": "WOODLAWN",
"state": "MD",
"postal_code": "212077737",
"telephone_number": "443-316-8614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESLEY",
"first_name": "WINTER",
"middle_name": "CHANAL",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-22",
"last_updated": "2013-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "15057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodlawn, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.