Mary Wennen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009278 Issued in NC

Practice address

1455 Dixon Ave
Lafayette, CO 80026-8879

Phone

(303) 443-8500

NPI assigned

Jun 29, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Wennen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1588185508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5043 TAMARAC ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383293",
            "telephone_number": "508-395-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 DIXON AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268879",
            "telephone_number": "303-443-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5043 Tamarac St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802383293",
            "country_code": "US",
            "telephone_number": "508-395-7733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENNEN",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WENNEN",
            "credential": "MARY THIEME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandi Alexis Welch
• Julia Wells
• Wellsprings of Healing LLC
• Cory Wendling
• Hanh Wenger, PHARMD
• Kelly Rene' Wenzel, MBA, SPHR
• Alyssa L Wermers, LCSW
• Mackenzie K Werner
• Monica Suzonne Wernick, M.D.
• Aviva D Wertkin, ND NATUROPATHIC DOCT

• Clinical Social Worker in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Clinical Social Worker in Colorado

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

Verify at the official NPI Registry.