Wellness Constellation PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WELLNESS CONSTELLATION PLLC

Practice address

799 Roosevelt Rd
BLDG 6 Ste 122
Glen Ellyn, IL 60137-5908

Phone

(630) 277-9101

NPI assigned

Jul 5, 2023

Organization subpart

No

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

Authorized official

Name

Joy WalshNPI 1013382233

Title

Owner

Phone

(630) 277-9101

Specialties & licenses 1

Addresses

Practitioners 1

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

• Joy Walsh, LCSW

  • Clinical Social Worker
  • Glen Ellyn, IL
  • NPI 1013382233
  NPD Authorized official

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1548948078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 ROOSEVELT RD",
            "address_2": "BLDG 6 STE 122",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375908",
            "telephone_number": "630-277-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 ROOSEVELT RD",
            "address_2": "BLDG 6 STE 122",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375908",
            "telephone_number": "630-277-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CONSTELLATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-277-9101"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Sonnenberg Wardell, DMD
• Leslie Briggs Wardell, DDS
• Karen Theresa Watkins, L.C.P.C.
• Michael Hunter Webb, MD
• Laura A Weese, AU.D.
• Rachael A Wenzl, LMT
• Genna F Werner, LSW
• Wesely Family Chiropractic, P.C.
• Mark M Wesely, DC
• Michelle L Wesely, DC

• Clinical Social Worker in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.