Individual provider Active NPI

Wayne Hardy Welch, MSW, LCSW

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1578881538
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW001012 Issued in GA
Practice address
308 Commercial Dr
#100
Savannah, GA 31406-3684
Phone
(912) 856-5658
Fax
(188) 851-4702
NPI assigned
May 13, 2010
Last updated
Mar 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW001012 GA Primary

Addresses

Primary practice location

308 Commercial Dr
#100
Savannah, GA 31406-3684

Mailing address

15 Norwood PL
Savannah, GA 31406-5153
Phone (912) 856-5658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000260 GA Practitioner - Clinical Social Worker 6608045604 Reassigns benefits to 1 organization
Practice locations: Savannah, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Behavioral Services LLCGroup PAC ID 3072845692, 5 clinicians

Practice addresses (Care Compare)

104 Borders Way
Suite 500
Warner Robins, GA 31088-8967
Phone (478) 352-0422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carenow Services, LLC CurrentSince Oct 16, 2009 Accepting new patients
Georgia Behavioral Services, LLC CurrentSince Oct 25, 2019 Accepting new patients

Locations

401 Bombay Ln
Roswell, GA 30076
Phone (770) 664-1920

901 Bombay Ln
Roswell, GA 30076
Phone (770) 664-1920

104 Borders Way
Ste 500
Warner Robins, GA 31088
Phone (478) 333-2182

Organizations & group practices 2

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1578881538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NORWOOD PL",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314065153",
            "telephone_number": "912-856-5658",
            "fax_number": "912-353-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 COMMERCIAL DR",
            "address_2": "#100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063684",
            "telephone_number": "912-856-5658",
            "fax_number": "188-851-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "WAYNE",
        "middle_name": "HARDY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.