William Glenn Wheaton Jr., LCSW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW20856 Issued in FL

Practice address

340 Magnolia Cir BLDG 1465
Tyndall AFB, FL 32403-5604

Phone

(850) 283-7370

NPI assigned

Aug 23, 2013

Last updated

Jun 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, CA2 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

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Quality BHS Florida, LLC

  dba Quality Behavioral Health Services

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1689297541
  Medicare reassignment NPD
• Telos Health Systems FL LLC

  • Internal Medicine Physician
  • Maitland, FL
  • NPI 1801624242

  Clinical

  Medicare reassignment NPD
• Mood Clinical, P. C.

  • Adult Mental Health Clinic/Center
  • Santa Ana, CA
  • NPI 1922675644
  Medicare reassignment NPD
• Wheaton Health and Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Temple, TX
  • NPI 1982347837
  NPD Authorized official
• Shine Medical of Ca PC

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1942935473
  Medicare reassignment
• Life Management of NW FL, Inc.

  dba Life Management Center of Northwest Florida Inc

  • Psychiatry Physician
  • Marianna, FL
  • NPI 1255367579
  NPD (past)
• Life Management of NW FL, Inc.

  • Psychiatry Physician
  • Port St Joe, FL
  • NPI 1316977515
  NPD (past)

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1548694854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAGNOLIA CIR BLDG 1465",
            "city": "TYNDALL AFB",
            "state": "FL",
            "postal_code": "324035604",
            "telephone_number": "850-283-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAGNOLIA CIR BLDG 1465",
            "city": "TYNDALL AFB",
            "state": "FL",
            "postal_code": "324035604",
            "telephone_number": "850-283-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATON",
        "first_name": "WILLIAM",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-23",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006535",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Jawann Sullivan, M.D.
• Ashley Ariana-Marie Sydnor, LMSW
• Annette M Trombly, PA
• Michelle Marie Vanderwal, RDH
• Philip Webb, RD
• Kody Whiteside
• James B Williams, PHARMD
• Sean Alan Wilson, P.T.

• Clinical Social Worker in Tyndall AFB, FL
• Providers in Tyndall AFB, 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 Jun 6, 2025; 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.