Wesley Wennerstrom

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

819 Midway St NW
Olympia, WA 98502-5433

Phone

(415) 602-3526

NPI assigned

Dec 3, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1568869790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 INDUSTRIAL RD",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940704151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 MIDWAY ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025433",
            "telephone_number": "415-602-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNERSTROM",
        "first_name": "WESLEY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-03",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Wells, M.ED., CCC-SLP
• Sharon Marie Wells, LMT
• Michael John Wenger, RN
• Suzanne Wenner, L.AC., L.M.P.
• Therese Wenner, LMT
• Deborah Corley Wentworth, PHD
• Mark A. Wentworth, M.D.
• Sonja R. Wentz, LMHC
• Danika Ireland Werner
• Jessica Werner, MA60412429

• Clinical Social Worker in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.