Active NPI
Wandra Felicia Chenault, MSW, LCSW-R
- Clinical Social Worker
- New York, NY
National Provider Identifier
1568749901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RO41950-1
- Practice address
- 99 Wall St Ste 537
New York, NY 10005-4301 - Phone
- (917) 464-3549
- NPI assigned
- Nov 14, 2011
- Last updated
- Nov 1, 2021
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | RO41950-1 | NY | Primary |
Addresses
Primary practice location
99 Wall St Ste 537
New York, NY 10005-4301
Mailing address
4665 Guilford Forest Dr SW
Atlanta, GA 30331-7393
Phone (917) 464-3549
Other practice location 1
243 W 134th St
Suite B
New York, NY 10030-3001
Phone (212) 690-0215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO41950-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- wandrachenault@tdh.allscriptsdirect.net
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1568749901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4665 GUILFORD FOREST DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303317393",
"telephone_number": "917-464-3549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 WALL ST STE 537",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100054301",
"telephone_number": "917-464-3549"
}
],
"practiceLocations": [
{
"address_1": "243 W 134th St",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100303001",
"country_code": "US",
"telephone_number": "212-690-0215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHENAULT",
"first_name": "WANDRA",
"middle_name": "FELICIA",
"credential": "MSW, LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2021-11-01",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "RO41950-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.