Wendy Rene Pugh, L.I.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I110127 Issued in OH

Practice address

341 N Maitland Ave Ste 340
Maitland, FL 32751-4761

Phone

(407) 219-3281

NPI assigned

Feb 27, 2008

Last updated

Jan 19, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OH, FL2 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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, OH

  Medicare reassignment NPD
• Vitae Health Medical Florida PLLC

  • Internal Medicine Physician
  • Rockledge, FL
  • NPI 1013562024

  Clinical

  Medicare reassignment NPD
• Providers for Healthy Living

  • Psychiatry Physician
  • Columbus, OH
  • NPI 1083905830
  Medicare reassignment NPD
• Providers for Healthy Living II

  dba Providers for Healthy Living

  • Psychiatry Physician
  • Maitland, FL
  • NPI 1417536145
  NPD
• Providers for Healthy Living

  • Psychiatry Physician
  • Hilliard, OH
  • NPI 1811560899
  NPD (past)

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1528237278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 N MAITLAND AVE STE 340",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514761",
            "telephone_number": "407-219-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N MAITLAND AVE STE 340",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514761",
            "telephone_number": "407-219-3281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Officenter Pl Ste 160",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432305351",
            "country_code": "US",
            "telephone_number": "614-664-3595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGH",
        "first_name": "WENDY",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW18813",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0600265",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I110127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Nicole Prunyi, APRN, CPNP-PC
• Psychiatric Affiliates, P.a.
• Kandace Pubien
• Publix Super Markets Inc (Publix Pharmacy #1070)
• Holly Pudwill, MS, RD, LD/N, CEDRDS
• Pure Diversity Homemaker Companion Service, LLC
• Purely Speech Therapy
• Ajay Purohit
• Timothy Jay Pursley, M.D.
• Floriano Putigna, DO

• Clinical Social Worker in Maitland, FL
• Providers in Maitland, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.